Quality of acute heart failure treatment in France: Data from REseau Nord-Alpin des Urgences (RENAU).

Details

Serval ID
serval:BIB_20DFD13BA304
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Quality of acute heart failure treatment in France: Data from REseau Nord-Alpin des Urgences (RENAU).
Journal
Annales de cardiologie et d'angeiologie
Author(s)
Lamboley L., Debax P., Courtiol G., Ricard C., Morvan C., Debaty G., Dubie E., Oberlin J., Savary D., Ageron F.X., Belle L.
Working group(s)
RENAU Investigators
ISSN
1768-3181 (Electronic)
ISSN-L
0003-3928
Publication state
Published
Issued date
11/2019
Peer-reviewed
Oui
Volume
68
Number
5
Pages
285-292
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
Acute heart failure, Acute pulmonary oedema, Dossier Patient, Guidelines, Insuffisance Cardiaque Aiguë, Patient records, Quality of care, Qualité de Soins, Recommandations, Œdème Pulmonaire Aiguë Cardiogénique
Pubmed
Create date
20/02/2020 11:07
Last modification date
15/07/2020 6:26
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