ArticlePrimary health care research & development2019
Heart failure in primary care: prevalence related to age and comorbidity.
Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 43 citations in OpenAlex.
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- Race, Sex, and Age Disparities in the Performance of ECG Deep Learning Models Predicting Heart Failure.Circulation. Heart failure · 2024Article
- Predictors of Higher Frequency of Atrial Fibrillation in Patients with Cardiac Resynchronization Therapy.Medicina (Kaunas, Lithuania) · 2023Article
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- Financial burden of heart failure in Malaysia: A perspective from the public healthcare system.PloS one · 2023Article
- Gaps in Modern Heart Failure and Chronic Kidney Disease Research.European cardiology · 2023Article
- The association of metabolic risk factors with ischemic heart disease and heart failure in Saudi Arabia - A cross sectional study.Journal of family medicine and primary care · 2022Article
- Beta-Blocker Use in Older Hospitalized Patients Affected by Heart Failure and Chronic Obstructive Pulmonary Disease: An Italian Survey From the REPOSI Register.Frontiers in cardiovascular medicine · 2022Article
- Establishment and Validation of a Non-invasive Diagnostic Nomogram to Identify Heart Failure in Patients With Coronary Heart Disease.Frontiers in cardiovascular medicine · 2022Article
- Prevalence of Chronic Heart Failure, Associated Factors, and Therapeutic Management in Primary Care Patients in Spain, IBERICAN Study.Journal of clinical medicine · 2021Article
- Clinical impact of compound sarcopenia in hospitalized older adult patients with heart failure.Journal of the American Geriatrics Society · 2021Article
- Association between sleep disordered breathing, neurocognitive impairment and diastolic function in acute heart failure patients: an insight after the vulnerable phase of the hospitalization.Internal and emergency medicine · 2021Article
- Electronic Medical Record-Based Case Phenotyping for the Charlson Conditions: Scoping Review.JMIR medical informatics · 2021Article
- Heart failure epidemiology and treatment in primary care: a retrospective cross-sectional study.ESC heart failure · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiagnosing heart failure (HF) in primary care can be challenging, especially in elderly patients with comorbidities. Insight in the prevalence, age, comorbidity and routine practice of diagnosing HF in general practice may improve the process of diagnosing HF.
aimTo examine the prevalence of HF in relation to ageing and comorbidities, and routine practice of diagnosing HF in general practice.
methodsA retrospective cohort study was performed using data from electronic health records of 56 320 adult patients of 11 general practices. HF patients were compared with patients without HF using descriptive analyses and χ2 tests. The following comorbidities were considered: chronic obstructive pulmonary disorder (COPD), diabetes mellitus (DM), hypertension, anaemia and renal function disorder (RFD). Separate analyses were performed for men and women.
findingsThe point prevalence of HF was 1.2% (95% confidence interval 1.13-1.33) and increased with each age category from 0.04% (18-44 years) to 20.9% (⩾85 years). All studied comorbidities were significantly (P<0.001) more common in HF patients than in patients without HF: COPD (24.1% versus 3.1%), DM (34.7% versus 6.5%), hypertension (52.7% versus 16.0%), anaemia (10.9% versus 2.3%) and RFD (61.8% versus 7.5%). N-terminal pro-BNP (NT-proBNP) was recorded in 38.1% of HF patients.
conclusionsHF is highly associated with ageing and comorbidities. Diagnostic use of NT-proBNP in routine primary care seems underutilized. Instruction of GPs to determine NT-proBNP in patients suspected of HF is recommended, especially In elderly patients with comorbidities.
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