MedicineWorld.Org
Your gateway to the world of medicine
Home
News
Cancer News
About Us
Cancer
Health Professionals
Patients and public
Contact Us
Disclaimer

Medicineworld.org: Heart failure patients admitted to general wards

Back to heart watch blog Blogs list Cancer blog  


Subscribe To Heart Watch Blog RSS Feed  RSS content feed What is RSS feed?

Heart failure patients admitted to general wards




Heart failure patients admitted to general wards are twice as likely to die as those admitted to cardiology wards, shows a national audit of the therapy of the condition, published online in the journal Heart
Women fared worse than men when it comes to appropriate investigations and therapy, the findings suggest, eventhough death rates were similar.

In 2006/7, heart failure accounted for more than a quarter of a million hospital deaths and discharges in England and Wales, equating to around 2.5 million bed days a year and at an annual cost to the NHS of �563 million.

The authors draw their conclusions from a survey of the first 10 patients admitted each month with a primary diagnosis of heart failure to 86 hospitals across England and Wales between April 2008 and March 2009.



Heart failure patients admitted to general wards

During this period, just over 6,000 patients, with an average age of 78, were admitted with the condition. Almost half of these (43%) were women.

At admission, less than a third (30%) were reported to be breathless at rest and under half (43%) as having swollen feet/ankles. These are both diagnostic features of heart failure.

Appropriate investigations were not always carried out, the survey shows, with those admitted to general medical wards less likely to receive these than those admitted to cardiology wards.

Most patients (75%) were given a heart trace monitor test (echocardiogram). But only two thirds of those (65%) admitted to general medical wards were given this test.

This showed that the left ventricular ejection fraction (LVEF), an indicator of the pump action of one of the two lower chambers of the heart, was 40% or less in most of those admitted.

But LVEF was not recorded in one in four patients. And those with an LVEF of under 40% or in whom LVEF was not recorded were more likely to be women, older, and managed on general medical wards.

Levels of natriuretic peptides, which are a much effective test for heart failure, and a much better barometer of likely outcome than LVEF, say the authors, were only measured in 1% of patients, despite National Institute of Health and Clinical Excellence recommendations.

Half the patients were admitted to cardiology wards. Compared with those managed on general wards, they tended to be younger and were more likely to be men. Those admitted to general medical wards were twice as likely to die as those admitted to cardiology wards, even after taking account of other risk factors.

While most patients, in whom discharge drug therapy was recorded, were given the appropriate medicines, only half were prescribed beta blockers. Men and younger patients were more likely to be given these drugs.

"Currently, hospital provision of care is suboptimal and the outcome of patents poor. The same rules that apply to suspected cancer should pertain to a disease with such a malign prognosis as heart failure," conclude the authors.

This means ready availability of natriuretic peptide testing, prompt referral to a specialist and appropriately trained staff to manage the condition during and after hospital admission, they say.


Posted by: Daniel    Source




Did you know?
Heart failure patients admitted to general wards are twice as likely to die as those admitted to cardiology wards, shows a national audit of the therapy of the condition, published online in the journal Heart Women fared worse than men when it comes to appropriate investigations and therapy, the findings suggest, eventhough death rates were similar.

Medicineworld.org: Heart failure patients admitted to general wards

Main Page| Cancer blog| Cancer blogs list| Lung cancer blog| Colon cancer blog| Prostate cancer blog| Breast cancer blog| Diabetes watch blog| Heart watch blog| Allergy blog| Bladder cancer blog| Cervical cancer blog| Colon cancer news blog| Diabetes news blog| Esophageal cancer blog| Gastric cancer blog| Health news blog| Heart news blog| Infectious disease blog| Kidney watch blog| Lung disease blog| Lung cancer news blog| Mesothelioma blog| Neurology blog| Breast cancer news blog| OBGYN blog| Ophthalmology blog| Ovarian cancer blog| Cancer news blog| Pancreas cancer blog| Pediatrics blog| Prostate cancer news blog| Psychology blog| Research blog| Rheumatology blog| Society news blog| Uterine cancer blog| Weight watch blog|

Copyright statement
The contents of this web page are protected. Legal action may follow for reproduction of materials without permission.