Epidemiology of heart failure and long-term follow-up outcomes in a north-African population: Results from the NAtional TUnisian REgistry of Heart Failure (NATURE-HF)

被引:15
作者
Abid, Leila [1 ]
Charfeddine, Salma [2 ]
Kammoun, Ikram [3 ]
Ben Halima, Manel [4 ]
Ben Slima, Hedi [5 ]
Drissa, Meriem [4 ]
Mzoughi, Khadija [6 ]
Mbarek, Dorra [7 ]
Riahi, Leila [1 ]
Antit, Saoussen [8 ]
Ben Halima, Afef [3 ]
Ouechtati, Wejdene [9 ]
Allouche, Emna [9 ]
Mechri, Mehdi [4 ]
Youssfi, Chedi [2 ]
Khorchani, Ali [10 ]
Sammoud, Kais [4 ]
Zaouia, Khaled [11 ]
Tlili, Rami [7 ]
Ouali, Sana [4 ]
Triki, Faten [2 ]
Hamdi, Sonia [12 ]
Boudich, Selim [4 ]
Chebbi, Marwa [4 ]
Hentati, Mouna [6 ]
Farah, Amani [13 ]
Triki, Habib [14 ]
Ghardallou, H. [15 ]
Radoui, H. [3 ]
Zayed, Sofien [13 ]
Azaiez, F. [4 ]
Omri, Fadoua [5 ]
Zouari, Akram [2 ]
Ben Ali, Zine [2 ]
Najjar, A. [13 ]
Thabet, Houssem [15 ]
Chaker, Mouna [2 ]
Mohammed, Samar [8 ]
Ben Jmaa, Abdelhamid [2 ]
Tangour, Haithem [15 ]
Kammoun, Yassine [6 ]
Bouhlel, Mahmoud Cheikh [15 ]
Azeiz, S. [1 ]
Gtaief, R. [1 ]
Mashki, S. [1 ]
Amri, Aymen [1 ]
Naanea, Hela [1 ]
Othmani, Raoudha [1 ]
Chahbani, Iheb [1 ]
Zargouni, Houcine [1 ]
机构
[1] Tunisian Soc Cardiol & Cardiac Surg, Tunis, Tunisia
[2] Hedi Chaker Hosp, Dept Cardiol, Sfax, Tunisia
[3] Abderrahman Mami Hosp, Dept Cardiol, Ariana, Tunisia
[4] La Rabta Hosp, Dept Cardiol, Tunis, Tunisia
[5] Menzel Bourguiba Hosp, Dept Cardiol, Bizerte, Tunisia
[6] Habib Thameur Hosp, Dept Cardiol, Tunis, Tunisia
[7] Mongi Slim Hosp, Dept Cardiol, La Marsa, Tunisia
[8] Hosp Internal Secur Forces, Dept Cardiol, La Marsa, Tunisia
[9] Charles Nicolle Hosp, Dept Cardiol, Tunis, Tunisia
[10] Habib Bourguiba Hosp, Dept Cardiol, Medenine, Tunisia
[11] Habib Bougatfa Hosp, Dept Cardiol, Bizerte, Tunisia
[12] Principal Mil Hosp, Dept Cardiol, Tunis, Tunisia
[13] Fattouma Bourguiba Hosp, Dept Cardiol, Monastir, Tunisia
[14] Mohamed Taher AI Maamouri Hospial, Dept Cardiol, Nabeul, Tunisia
[15] Sahloul Hospial, Dept Cardiol, Sousse, Tunisia
[16] Mohamed Ben Sassi Hosp, Dept Cardiol, Gabes, Tunisia
[17] Ibn El Jazzar Hosp, Dept Cardiol, Kairouan, Tunisia
[18] Kasserine Hosp, Dept Cardiol, Kasserine, Tunisia
[19] Hedi Chaker Hosp, Dept Community Med, Sfax, Tunisia
[20] Natl Ctr Nucl Sci & Technol Sidi Thabet, Nucl Biotechnol & Technol Lab, Ariana, Tunisia
[21] Nancy Univ Hosp Ctr, Dept Cardiol, Nancy, France
[22] Lariboisiere Hosp, Dept Cardiol, Paris, France
[23] Natl Inst Appl Sci & Technol, Mol & Genom Bacteriol Lab, Tunis, Tunisia
关键词
EUROPEAN-SOCIETY; HOSPITALIZATION; ASSOCIATION; PREDICTORS; CONGESTION; GUIDELINES; HEALTH; PILOT; CARE; SEX;
D O I
10.1371/journal.pone.0251658
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The NATURE-HF registry was aimed to describe clinical epidemiology and 1-year outcomes of outpatients and inpatients with heart failure (HF). This is a prospective, multicenter, observational survey conducted in Tunisian Cardiology centers. A total of 2040 patients were included in the study. Of these, 1632 (80%) were outpatients with chronic HF (CHF). The mean hospital stay was 8.7 +/- 8.2 days. The mortality rate during the initial hospitalization event for AHF was 7.4%. The all-cause 1-year mortality rate was 22.8% among AHF patients and 10.6% among CHF patients. Among CHF patients, the older age, diabetes, anemia, reduced EF, ischemic etiology, residual congestion and the absence of ACEI/ ARBs treatment were independent predictors of 1-year cumulative rates of rehospitalization and mortality. The female sex and the functional status were independent predictors of 1-year all-cause mortality and rehospitalization in AHF patients. This study confirmed that acute HF is still associated with a poor prognosis, while the mid-term outcomes in patients with chronic HF seems to be improved. Some differences across countries may be due to different clinical characteristics and differences in healthcare systems.
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页数:11
相关论文
共 23 条
[1]   The Global Health and Economic Burden of Hospitalizations for Heart Failure Lessons Learned From Hospitalized Heart Failure Registries [J].
Ambrosy, Andrew P. ;
Fonarow, Gregg C. ;
Butler, Javed ;
Chioncel, Ovidiu ;
Greene, Stephen J. ;
Vaduganathan, Muthiah ;
Nodari, Savina ;
Lam, Carolyn S. P. ;
Sato, Naoki ;
Shah, Ami N. ;
Gheorghiade, Mihai .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (12) :1123-1133
[2]   Clinical course and predictive value of congestion during hospitalization in patients admitted for worsening signs and symptoms of heart failure with reduced ejection fraction: findings from the EVEREST trial [J].
Ambrosy, Andrew P. ;
Pang, Peter S. ;
Khan, Sadiya ;
Konstam, Marvin A. ;
Fonarow, Gregg C. ;
Traver, Brian ;
Maggioni, Aldo P. ;
Cook, Thomas ;
Swedberg, Karl ;
Burnett, John C., Jr. ;
Grinfeld, Liliana ;
Udelson, James E. ;
Zannad, Faiez ;
Gheorghiade, Mihai .
EUROPEAN HEART JOURNAL, 2013, 34 (11) :835-843
[3]   Predictors of one-year outcome in patients hospitalised for heart failure: results from the Polish part of the Heart Failure Pilot Survey of the European Society of Cardiology [J].
Balsam, Pawel ;
Tyminska, Agata ;
Kaplon-Cieslicka, Agnieszka ;
Ozieranski, Krzysztof ;
Peller, Michal ;
Galas, Michalina ;
Marchel, Michal ;
Drozdz, Jaroslaw ;
Filipiak, Krzysztof J. ;
Opolski, Grzegorz .
KARDIOLOGIA POLSKA, 2016, 74 (01) :9-17
[4]   Heart Failure Care in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis [J].
Callender, Thomas ;
Woodward, Mark ;
Roth, Gregory ;
Farzadfar, Farshad ;
Lemarie, Jean-Christophe ;
Gicquel, Stephanie ;
Atherton, John ;
Rahimzadeh, Shadi ;
Ghaziani, Mehdi ;
Shaikh, Maaz ;
Bennett, Derrick ;
Patel, Anushka ;
Lam, Carolyn S. P. ;
Sliwa, Karen ;
Barretto, Antonio ;
Siswanto, Bambang Budi ;
Diaz, Alejandro ;
Herpin, Daniel ;
Krum, Henry ;
Eliasz, Thomas ;
Forbes, Anna ;
Kiszely, Alastair ;
Khosla, Rajit ;
Petrinic, Tatjana ;
Praveen, Devarsetty ;
Shrivastava, Roohi ;
Xin, Du ;
MacMahon, Stephen ;
McMurray, John ;
Rahimi, Kazem .
PLOS MEDICINE, 2014, 11 (08)
[5]   European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions [J].
Crespo-Leiro, Maria G. ;
Anker, Stefan D. ;
Maggioni, Aldo P. ;
Coats, Andrew J. ;
Filippatos, Gerasimos ;
Ruschitzka, Frank ;
Ferrari, Roberto ;
Piepoli, Massimo Francesco ;
Delgado Jimenez, Juan F. ;
Metra, Marco ;
Fonseca, Candida ;
Hradec, Jaromir ;
Amir, Offer ;
Logeart, Damien ;
Dahlstroem, Ulf ;
Merkely, Bela ;
Drozdz, Jaroslaw ;
Goncalvesova, Eva ;
Hassanein, Mahmoud ;
Chioncel, Ovidiu ;
Lainscak, Mitja ;
Seferovic, Petar M. ;
Tousoulis, Dimitris ;
Kavoliuniene, Ausra ;
Fruhwald, Friedrich ;
Fazlibegovic, Emir ;
Temizhan, Ahmet ;
Gatzov, Plamen ;
Erglis, Andrejs ;
Laroche, Cecile ;
Mebazaa, Alexandre .
EUROPEAN JOURNAL OF HEART FAILURE, 2016, 18 (06) :613-625
[6]   Type 2 Diabetes Mellitus and Heart Failure: A Scientific Statement From the American Heart Association and the Heart Failure Society of America: This statement does not represent an update of the 2017 ACC/AHA/HFSA heart failure guideline update [J].
Dunlay, Shannon M. ;
Givertz, Michael M. ;
Aguilar, David ;
Allen, Larry A. ;
Chan, Michael ;
Desai, Akshay S. ;
Deswal, Anita ;
Dickson, Victoria Vaughan ;
Kosiborod, Mikhail N. ;
Lekavich, Carolyn L. ;
McCoy, Rozalina G. ;
Mentz, Robert J. ;
Pina, Ileana L. .
CIRCULATION, 2019, 140 (07) :E294-E324
[7]   Do Countries or Hospitals With Longer Hospital Stays for Acute Heart Failure Have Lower Readmission Rates? Findings From ASCEND- HF [J].
Eapen, Zubin J. ;
Reed, Shelby D. ;
Li, Yanhong ;
Kociol, Robb D. ;
Armstrong, Paul W. ;
Starling, Randall C. ;
McMurray, John J. ;
Massie, Barry M. ;
Swedberg, Karl ;
Ezekowitz, Justin A. ;
Fonarow, Gregg C. ;
Teerlink, John R. ;
Metra, Marco ;
Whellan, David J. ;
O'Connor, Christopher M. ;
Califf, Robert M. ;
Hernandez, Adrian F. .
CIRCULATION-HEART FAILURE, 2013, 6 (04) :727-732
[8]   Diabetes Mellitus and Heart Failure [J].
Lehrke, Michael ;
Marx, Nikolaus .
AMERICAN JOURNAL OF MEDICINE, 2017, 130 (06) :S40-S50
[9]   Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines? Evidence from 12 440 patients of the ESC Heart Failure Long-Term Registry [J].
Maggioni, Aldo P. ;
Anker, Stefan D. ;
Dahlstrom, Ulf ;
Filippatos, Gerasimos ;
Ponikowski, Piotr ;
Zannad, Faiez ;
Amir, Offer ;
Chioncel, Ovidiu ;
Leiro, Marisa Crespo ;
Drozdz, Jaroslaw ;
Erglis, Andrejs ;
Fazlibegovic, Emir ;
Fonseca, Candida ;
Fruhwald, Friedrich ;
Gatzov, Plamen ;
Goncalvesova, Eva ;
Hassanein, Mahmoud ;
Hradec, Jaromir ;
Kavoliuniene, Ausra ;
Lainscak, Mitja ;
Logeart, Damien ;
Merkely, Bela ;
Metra, Marco ;
Persson, Hans ;
Seferovic, Petar ;
Temizhan, Ahmet ;
Tousoulis, Dimitris ;
Tavazzi, Luigi .
EUROPEAN JOURNAL OF HEART FAILURE, 2013, 15 (10) :1173-1184
[10]   EURObservational Research Programme: regional differences and 1-year follow-up results of the Heart Failure Pilot Survey (ESC-HF Pilot) [J].
Maggioni, Aldo P. ;
Dahlstrom, Ulf ;
Filippatos, Gerasimos ;
Chioncel, Ovidiu ;
Crespo Leiro, Marisa ;
Drozdz, Jaroslaw ;
Fruhwald, Friedrich ;
Gullestad, Lars ;
Logeart, Damien ;
Fabbri, Gianna ;
Urso, Renato ;
Metra, Marco ;
Parissis, John ;
Persson, Hans ;
Ponikowski, Piotr ;
Rauchhaus, Mathias ;
Voors, Adriaan A. ;
Nielsen, Olav Wendelboe ;
Zannad, Faiez ;
Tavazzi, Luigi .
EUROPEAN JOURNAL OF HEART FAILURE, 2013, 15 (07) :808-817