ArticleInternational journal of environmental research and public health2016
Prevalence of Heart Failure and Adherence to Process Indicators: Which Socio-Demographic Determinants are Involved?
Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Psychosocial predictors of health behavior adherence in heart-failure patients with comorbid depression: a secondary analysis of the Hopeful Heart trial.BMC psychology · 2024Trial
- Economic Evaluation of Patiromer in Patients with Concomitant Heart Failure and Chronic Kidney Disease in Italy.PharmacoEconomics - open · 2025Article
- Cost-effectiveness of outpatient adherence to recommendations for monitoring of patients hospitalized for heart failure.ESC heart failure · 2024Article
- Prognostic value of lung ultrasonography and bioimpedance spectroscopy in patients with heart failure and reduced ejection fraction.Archives of medical science : AMS · 2024Article
- Trends in heart failure prevalence in Japan 2014-2019: a report from healthcare administration databases.ESC heart failure · 2023Article
- Healthcare Equity and Commissioning: A Four-Year National Analysis of Portuguese Primary Healthcare Units.International journal of environmental research and public health · 2022Article
- Impact analysis of heart failure across European countries: an ESC-HFA position paper.ESC heart failure · 2022Review
- Genetic predisposition study of heart failure and its association with cardiomyopathy.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022Review
- Health care service usage and costs for high-needs elderly patients with heart failure.Journal of geriatric cardiology : JGC · 2020Article
- Epidemiology of heart failure.European journal of heart failure · 2020Review
- Pulmonary hypertension: From an orphan disease to a global epidemic.Global cardiology science & practice · 2020Review
- Artificial Intelligence (AI) and Cardiovascular Diseases: An Unexpected Alliance.Cardiology research and practice · 2020Review
- A turnaround strategy: improving equity in order to achieve quality of care and financial sustainability in Italy.International journal for equity in health · 2018Article
- Global Public Health Burden of Heart Failure.Cardiac failure review · 2017Article
- Thyroid Dysfunction and Heart Failure: Mechanisms and Associations.Current heart failure reports · 2017Review
- Article
- Epidemiology and management of heart failure with reduced ejection fraction in a Tunisian university hospital.Cardiovascular journal of AfricaArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Interest in chronic conditions reflects their role as the first cause of death and disability in developed countries; improving the management of these conditions is a priority for health care services. The aim of this study was to establish which sociodemographic factors influence adherence to standards of care for chronic heart failure (CHF). A generalized multilevel structural equation model was developed and applied to a sample of patients with CHF obtained from administrative data flows in six Italian regions to ascertain any associations between adherence to standards of care for CHF and sociodemographic variables. Indicators of compliance were adherence to beta-blocker therapy (BB-A) and Angiotensin Convertin Enzime inhibitor/Angiotensin Receptor Blocker therapy (ACE-A), and creatinine and electrolyte testing (CNK-T). All indicators were computed over a one-year follow-up. Among a cohort of 24,997 patients, the BB-A rate was 40.4%, the ACE-A rate 61.1%, and the CNK-T rate 57.0%. Factors found associated with adherence were gender, age, and citizenship. Our study shows an inadequate adherence to standards of care for CHF, particularly associated with certain sociodemographic characteristics. This suggests the need to improve the role of primary care in managing this chronic condition. The measures considered only apply to patients with a reduced Left Ventricular Ejection Fraction, hence a limitation of this analysis is the lack of information on left ventricular ejection.
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