Adequacy of Diagnosis and Treatment of Chronic Heart Failure in Primary Health Care in Sweden
Key result
In Swedish primary care, ESC diagnostic criteria for chronic heart failure were met in only ~30% of patients, and only 20% received ≥50% of the recommended target dose for both RAS and beta-blockers.
Population
n=2093 patients with chronic heart failure (CHF) in primary health care (PHC), mean age 79 years, in Sweden.
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
May signal underdiagnosis and undertreatment of HF in primary care; leaves open whether closing gaps improves outcomes.
Study Design
Type
Observational (n=2,093)
Multicenter
Yes
Structured PICO
P
Population
n=2093 patients with chronic heart failure (CHF) in primary health care (PHC), mean age 79 years, in Sweden.
O
Outcome
Diagnostic tools and treatments currently used
This observational study highlights significant gaps in the diagnosis and evidence-based medical therapy dosing for chronic heart failure patients in Swedish primary care.
Limitations
- Findings may reflect the patients' high age and the presence of important co-morbidities
Cite This Study
Dahlström et al. (2009) conducted an observational in chronic heart failure (n=2,093). Current diagnostic tools and treatments was evaluated on Fulfillment of ESC diagnostic criteria and use of evidence-based treatments. In Swedish primary care, ESC diagnostic criteria for chronic heart failure were met in only ~30% of patients, and only 20% received ≥50% of the recommended target dose for both RAS and beta-blockers.