Artículos de revistas
I registro Brasileiro de insuficiência Cardíaca – Aspectos clínicos, qualidade assistencial e desfechos hospitalares
Fecha
2015-01-01Registro en:
Arquivos Brasileiros de Cardiologia, v. 104, n. 6, p. 433-442, 2015.
1678-4170
0066-782X
10.5935/abc.20150031
2-s2.0-84936146598
Autor
Universidade do Estado do Rio de Janeiro (UERJ)
Hospital de Messejana
Universidade de São Paulo (USP)
Hospital de Clínicas de Porto Alegre
Instituto de Pesquisa, Hospital do Coração
Universidade Federal de São Paulo (UNIFESP)
Hospital de Clínicas Gaspar Viana
Hospital de Base FAMERP
Hospital do Coração
Hospital São Lucas – PUCRS
Instituto Dante Pazzanese
InCor SP
Real Hospital Português
Hospital Universitário Clementino Fraga Filho
Hospital Total Cor
Hospital Universitário Prof. Alberto Antunes
Hospital Barra D’Or
Hospital do Coração de Goiás
Hospital Vera Cruz
Hospital Universitário de Londrina
Hospital Copa D’or
Universidade Federal de Goiás (UFG)
Instituto Cardiopulmonar
Santa Casa de Votuporanga
Hospital Universitário Pedro Ernesto
São Lucas Médico Hospitalar
Hospital Universitário Presidente Dutra-HUUFMA
Unidade de Insuficiência Cardíaca – InCor
Hospital Quinta Dor
Hospital Lifecenter
Xeno Diagnósticos Dante Pazzanese
Fundação Bahiana de Cardiologia
Instituto de Cardiologia do Distrito Federal
Hospital Auxiliar do Cotoxó
Fundação Beneficência Hospital de Cirurgia/Hospital do Coração
Hospital Santa Izabel
Hospital Regional Hans Dieter Schmidt
Hospital Univ. Antonio Pedro – UFF
Hospital Universitário São Jose
Universidade Estadual Paulista (Unesp)
Hospital Santa Paula
Casa de Saúde São José
Universidade Federal de Minas Gerais (UFMG)
Hospital Madre Tereza
São Bernardo Apart Hospital
Instituto Nacional de Cardiologia
Hospital da Cidade
Hospital Rios Dor
Santa Casa de São Paulo
Hospital Espanhol
Unidade de Miocardiopatia InCor
Hospital Escola Alvaro Alvim
Universidade Federal do Pará (UFPA)
Sociedade Brasileira de Cardiologia, Departamento de Insuficiência Cardíaca (DEIC)
Institución
Resumen
Heart failure (HF) is one of the leading causes of hospitalization in adults in Brazil. However, most of the available data is limited to unicenter registries. The BREATHE registry is the first to include a large sample of hospitalized patients with decompensated HF from different regions in Brazil. Objective: Describe the clinical characteristics, treatment and prognosis of hospitalized patients admitted with acute HF. Methods: Observational registry study with longitudinal follow-up. The eligibility criteria included patients older than 18 years with a definitive diagnosis of HF, admitted to public or private hospitals. Assessed outcomes included the causes of decompensation, use of medications, care quality indicators, hemodynamic profile and intrahospital events. Results: A total of 1,263 patients (64 ± 16 years, 60% women) were included from 51 centers from different regions in Brazil. The most common comorbidities were hypertension (70.8%), dyslipidemia (36.7%) and diabetes (34%). Around 40% of the patients had normal left ventricular systolic function and most were admitted with a wet-warm clinical-hemodynamic profile. Vasodilators and intravenous inotropes were used in less than 15% of the studied cohort. Care quality indicators based on hospital discharge recommendations were reached in less than 65% of the patients. Intrahospital mortality affected 12.6% of all patients included. Conclusion: The BREATHE study demonstrated the high intrahospital mortality of patients admitted with acute HF in Brazil, in addition to the low rate of prescription of drugs based on evidence.