Key result
Urine toxicology reveals only 39% of ADHF patients are fully adherent to prescribed HF medications.
Why the study?
Objectively assessed medication adherence in patients presenting with acutely decompensated heart failure remains largely unexplored.
Population
100 patients with acutely decompensated heart failure presenting in the emergency department
Comparison
Indirect self-reported adherence vs direct qualitative toxicological urine analysis
Design
Cross-sectional study
Authors
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Low adherence confirmed objectively in 61% of ADHF cases; leaves open whether routine screening or interventions reduce hospitalizations.
Cross-Sectional (n=100)
Medication adherence is low in patients presenting with acutely decompensated heart failure, with only 39% showing full adherence by toxicological urine analysis.
Kunz et al. (2025) conducted a cross-sectional in acutely decompensated heart failure (ADHF) (n=100). Medication adherence was evaluated on Full medication adherence (all prescribed CHF medications detected in urine). Objective assessment via urine toxicology revealed that only 39% of patients presenting with acutely decompensated heart failure were fully adherent to their prescribed heart failure medications.
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