EURObservational Research Programme: The Heart Failure Pilot Survey (ESC‐HF Pilot)

European Journal of Heart Failure - Tập 12 Số 10 - Trang 1076-1084 - 2010
Aldo P. Maggioni1, Ulf Dahlström2, Gerasimos Filippatos3, Ovidiu Chioncel4, Marisa Crespo Leiro5, Jarosław Dróżdż6, Friedrich Fruhwald7, Lars Gullestad8, Damien Logeart9, Marco Metra10, John Parissis11, Hans Persson12, Piotr Ponikowski13, Mathias Rauchhaus14, Adriaan A. Voors15, Olav Wendelboe Nielsen16, Faı̈ez Zannad17, Luigi Tavazzi18
1ANMCO Research Center, Florence, Italy
2Department of Cardiology, Linkoping University Hospital, Linkoping, Sweden
3Athens University Hospital “Attikon”, Athens, Greece
4Cardiology 1, Institut de Boli Cardiovasculare C.C.Iliescu, Bucuresti, Romania
5Unidad de Insuficiencia Cardiaca Avanzada y Trasplante Cardiaco, Hospital Universitario A Coruña, La Coruña, Spain
6Department of Cardiology, Medical University of Lodz, Lodz, Poland
7Department of Cardiology, Medical University Graz, Austria
8Department of Cardiology, Rikshospitalet University Hospital, Oslo, Norway.
9Department of Cardiology, INSERM UMR 942 Lariboisière Hospital 2 rue Ambroise Paré Paris France
10Cattedra di Cardiologia, Dipartimento di medicina sperimentale ed applicata, Spedali Civili Università di Brescia Brescia Italy
11Second Department of Cardiology, Attikon University Hospital, University of Athens, Athens, Greece
12Department of Cardiology, Danderyd University Hospital, Stockholm, Sweden
13Department of Cardiology, Military Hospital, Wroclaw, Poland
14Department of Cardiology, Center for Internal Medicine I, University Hospital Rostock, Rostock, Germany
15Thoraxcenter, Cardiology Department, University Medical Center Groningen, Groningen, The Netherlands
16Department of Cardiology, Bispebjerg University Hospital, Copenhagen, Denmark
17Inserm, Centre d'Investigation Cliniques CIC 9501 and U961, CHU and Department of Cardiology Nancy University Nancy France
18Maria Cecilia Hospital, GVM Care and Research, Ettore Sansavini Health Science Foundation, Cotignola, Italy

Tóm tắt

AimsThe primary objective of the new ESC‐HF Pilot Survey was to describe the clinical epidemiology of outpatients and inpatients with heart failure (HF) and the diagnostic/therapeutic processes applied across 12 participating European countries. This pilot study was specifically aimed at validating the structure, performance, and quality of the data set, for continuing the survey into a permanent registry.Methods and resultsThe ESC‐HF Pilot study is a prospective, multicentre, observational survey conducted in 136 cardiology centres from 12 European countries selected to represent the different health systems and care attitudes across Europe. All outpatients with HF and patients admitted for acute HF were included during the enrolment period (1 day per week for 8 consecutive months). From October 2009 to May 2010, 5118 patients were included in this pilot survey, of which 1892 (37%) were admitted for acute HF and 3226 (63%) for chronic HF. Ischaemic aetiology was reported in about half of the patients. In patients admitted for acute HF, the most frequent clinical profile was decompensated HF (75% of cases), whereas pulmonary oedema and cardiogenic shock were reported, respectively, in 13.3 and 2.3% of the cases. The total in‐hospital mortality rate was 3.8% and was cardiovascular in 90.1% of the cases. Lowest and highest mortality rates were observed in hypertensive HF and in cardiogenic shock, respectively. More than 80% of patients with chronic HF were treated with renin–angiotensin–aldosterone system blockers and β‐adrenergic blockers. However, target doses of such drugs were reached in one‐third to one‐fourth of the patients only.ConclusionThe ESC‐HF Pilot Survey is an example of the possibility of utilizing an observational methodology to get insights into the current clinical practice in Europe, whose picture will be completed by the 1‐year follow‐up. Moreover, this study offered the opportunity to refine the organizational structure of a long‐term, extended European network.

Từ khóa


Tài liệu tham khảo

10.1093/eurheartj/ehi044

10.1016/j.ahj.2004.08.005

Ferrari R, 2010, EURObservational Research Programme, Eur Heart J, 31, 1023

Thông tin
Thông tin xuất bản

European Journal of Heart Failure

Tập 12 Số 10

1076-1084

Thông tin tác giả