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The Third Nationwide Korean Heart Failure III Registry (KorHF III): The Study Design Paper
Minjae Yoon1, Eung Ju Kim2, Seong Woo Han3
1Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Insights
This study establishes the Korean national registry for acute heart failure (AHF) to track patient characteristics, treatments, and outcomes. It aims to provide updated insights into contemporary AHF management in Korea.
Area of Science:
- Cardiology
- Clinical Research
- Public Health
Background:
- Heart failure (HF) management has evolved with new pharmacologic and non-pharmacologic treatments.
- Previous Korean HF registries do not reflect current acute heart failure (AHF) patient profiles.
- There is a need for updated data on contemporary AHF in Korea.
Purpose of the Study:
- To assess clinical characteristics, management strategies, hospital course, and long-term outcomes of contemporary AHF patients in Korea.
- To establish a nationwide prospective observational multicenter cohort study (KorHF III) for AHF.
- To provide a comprehensive understanding of AHF in the current Korean healthcare landscape.
Main Methods:
- Prospective observational multicenter cohort study (KorHF III).
- Enrollment of over 7,000 patients hospitalized for AHF across 47 tertiary hospitals in Korea starting March 2018.
- Follow-up of patients for up to 5 years to evaluate long-term clinical outcomes.
- Inclusion criteria: signs/symptoms of HF with lung congestion or echocardiographic evidence of cardiac abnormalities or isolated right-sided HF.
Main Results:
- Data collection on clinical characteristics, management approaches, and hospital course is ongoing.
- Long-term clinical outcomes will be evaluated through 5-year follow-up.
- The registry aims to identify trends and patterns in contemporary AHF management and outcomes.
Conclusions:
- KorHF III is a crucial nationwide registry for understanding contemporary AHF in Korea.
- The study will elucidate current clinical characteristics, management strategies, and outcomes of hospitalized AHF patients.
- Findings will inform future guidelines and improve AHF patient care in Korea.
Abstract:
With advancements in both pharmacologic and non-pharmacologic treatments, significant changes have occurred in heart failure (HF) management. The previous Korean HF registries, namely the Korea Heart Failure Registry (KorHF-registry) and Korean Acute Heart Failure Registry (KorAHF-registry), no longer accurately reflect contemporary acute heart failure (AHF) patients. Our objective is to assess contemporary AHF patients through a nationwide registry encompassing various aspects, such as clinical characteristics, management approaches, hospital course, and long-term outcomes of individuals hospitalized for AHF in Korea. This prospective observational multicenter cohort study (KorHF III) is organized by the Korean Society of Heart Failure. We aim to prospectively enroll 7,000 or more patients hospitalized for AHF at 47 tertiary hospitals in Korea starting from March 2018. Eligible patients exhibit signs and symptoms of HF and demonstrate either lung congestion or objective evidence of structural or functional cardiac abnormalities in echocardiography, or isolated right-sided HF. Patients will be followed up for up to 5 years after enrollment in the registry to evaluate long-term clinical outcomes. KorHF III represents the nationwide AHF registry that will elucidate the clinical characteristics, management strategies, and outcomes of contemporary AHF patients in Korea.
Trial Registration:
ClinicalTrials.gov Identifier: NCT04329234.
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