[Translated article] Therapeutic management, adherence, and clinical outcomes of heart failure in Andalucía. ANDALIC

Héctor Rodríguez-Ramallo1, Nerea Báez-Gutiérrez2, Didiana Jaramillo-Ruiz1

  • 1Unidad de gestión clínica de farmacia, Hospital Universitario Virgen del Rocío, Sevilla, Spain.

Insights

This study examines heart failure patient data in Andalusia, focusing on treatment, adherence, and outcomes. Findings aim to improve patient care and reduce the regional health burden of heart failure.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Heart failure (HF) is a widespread condition with high mortality and significant healthcare costs.
  • Limited systematic data on HF patient treatment and adherence hinders outcome improvement.

Purpose of the Study:

  • To characterize clinical features, therapeutic strategies, adherence, and outcomes in Andalusian HF patients.
  • To investigate associations between patient characteristics, management, adherence, and clinical results.

Main Methods:

  • Observational, population-based, retrospective cohort study.
  • Data extracted from the Andalusian population health database (2014-2023).
  • Statistical analysis includes descriptive, bivariate, and multivariate (logistic, Cox, Poisson) regression models.

Main Results:

  • Descriptive analysis of patient cohort characteristics, adherence, and clinical outcomes.
  • Bivariate and multivariate analyses to identify factors associated with adherence, persistence, and outcomes.
  • Evaluation of temporal changes in outcomes using Poisson regression.

Conclusions:

  • The study will provide insights into HF management and adherence in Andalusia.
  • Findings are expected to inform optimized strategies for improving patient care and quality of life.
  • Results could help mitigate the regional health burden of heart failure.

Related Concept Videos

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...