Titre
Quality of acute heart failure treatment in France: Data from REseau Nord-Alpin des Urgences (RENAU).
Type
article
Institution
Externe
Périodique
Auteur(s)
Lamboley, L.
Auteure/Auteur
Debax, P.
Auteure/Auteur
Courtiol, G.
Auteure/Auteur
Ricard, C.
Auteure/Auteur
Morvan, C.
Auteure/Auteur
Debaty, G.
Auteure/Auteur
Dubie, E.
Auteure/Auteur
Oberlin, J.
Auteure/Auteur
Savary, D.
Auteure/Auteur
Ageron, F.X.
Auteure/Auteur
Belle, L.
Auteure/Auteur
Groupes de travail
RENAU Investigators
Liens vers les personnes
ISSN
1768-3181
Statut éditorial
Publié
Date de publication
2019-11
Volume
68
Numéro
5
Première page
285
Dernière page/numéro d’article
292
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Although mortality due to acute heart failure has decreased, its prevalence in France is still high. The aim of this study was to examine the quality of acute heart failure treatment in French emergency departments (EDs) with reference to subsequently published European Society of Cardiology (ESC) recommendations.
The medical records of patients with acute pulmonary oedema (as a marker for acute heart failure) admitted to the EDs of 11 French hospitals in 2013 were reviewed retrospectively.
A total of 834 patients were included (median [interquartile range] age 84 [78-89] years; 48.6% male). Rates of compliance of initial management in 2013 to subsequently published 2015 recommendations were as follows: (1) thoracic ultrasound was performed in 17.3%; (2) loop diuretics were given in 75.9%; at a correct dose (among those for whom this was calculable) in 40.0% (3); intravenous nitrates were given in 21.7% of patients with systolic blood pressure>110mmHg; (4) non-invasive ventilation was initiated in 22.0% of patients with respiratory distress. Discharge summaries most often lacked a scheduled cardiologist follow-up (89.4%) and discharge patient weight (78.9%).
The early management of patients with acute pulmonary oedema (as a marker of acute heart failure) in France in 2013 was quite different to recommendations published in 2015. A programme to implement the new recommendations is in place, and a repeat evaluation will be conducted in 2017.
The medical records of patients with acute pulmonary oedema (as a marker for acute heart failure) admitted to the EDs of 11 French hospitals in 2013 were reviewed retrospectively.
A total of 834 patients were included (median [interquartile range] age 84 [78-89] years; 48.6% male). Rates of compliance of initial management in 2013 to subsequently published 2015 recommendations were as follows: (1) thoracic ultrasound was performed in 17.3%; (2) loop diuretics were given in 75.9%; at a correct dose (among those for whom this was calculable) in 40.0% (3); intravenous nitrates were given in 21.7% of patients with systolic blood pressure>110mmHg; (4) non-invasive ventilation was initiated in 22.0% of patients with respiratory distress. Discharge summaries most often lacked a scheduled cardiologist follow-up (89.4%) and discharge patient weight (78.9%).
The early management of patients with acute pulmonary oedema (as a marker of acute heart failure) in France in 2013 was quite different to recommendations published in 2015. A programme to implement the new recommendations is in place, and a repeat evaluation will be conducted in 2017.
PID Serval
serval:BIB_20DFD13BA304
PMID
Date de création
2020-02-20T09:07:10.074Z
Date de création dans IRIS
2025-05-20T19:41:24Z