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Heart failure among Indigenous Australians: a systematic review
John A Woods1, Judith M Katzenellenbogen, Patricia M Davidson
1Combined Universities Centre for Rural Health, PO Box 109, Geraldton, WA 6531, Australia. john.woods@uwa.edu.au
BMC Cardiovascular Disorders
|November 3, 2012
Summary
Indigenous Australians experience a disproportionately high burden of heart failure, with higher morbidity and mortality rates compared to non-Indigenous populations. Further research is crucial to improve diagnosis and health service provision for this group.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular diseases significantly impact Indigenous Australian health and life expectancy.
- Heart failure is a prevalent, disabling, and costly complication.
- Data on heart failure epidemiology and health service provision for Indigenous Australians are limited.
Purpose of the Study:
- To systematically review existing literature on heart failure in Indigenous Australians.
- To identify the epidemiological burden and health service provision challenges.
- To highlight research gaps and inform future policy.
Main Methods:
- Systematic search of multiple electronic databases (PubMed, Embase, Web of Science, etc.) and websites.
- Inclusion criteria focused on peer-reviewed articles and government reports concerning heart failure in Indigenous Australians.
- Data extraction and synthesis of eligible studies.
Main Results:
- A scarcity of peer-reviewed research, with government reports dominating the literature.
- Indigenous Australians exhibit higher heart failure morbidity and mortality ratios compared to non-Indigenous counterparts.
- High prevalence of heart failure, including undiagnosed cases, was noted in specific populations, with barriers to health service access identified.
Conclusions:
- Indigenous Australians face a substantial excess burden of heart failure.
- Undiagnosed heart failure appears common in this population.
- High-quality research is essential to establish accurate epidemiological data and evaluate health services for improved management and policy development.
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