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首页> 外文期刊>Italian Journal of Medicine >Results of prospective multicenter study on heart failure on Campania Internal Medicine wards: the FASHION study
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Results of prospective multicenter study on heart failure on Campania Internal Medicine wards: the FASHION study

机译：坎帕尼亚内科病房心力衰竭的前瞻性多中心研究结果：FASHION研究

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Heart failure (HF) is characterized by a high prevalence and hospitalization rate with considerable health and social impact; the knowledge of its epidemiological features remains the mainstay to assess adequacy of the health care needs. The aim of this study was to evaluate the prevalence of HF in Internal Medicine Units of the Campania region (Italy) and patients’ characteristics. We recruited all patients with HF admitted between April 1 and June 30, 2014, in 23 Units of Internal Medicine: 975 patients (19.5% of 5000 admissions), 518 women and 457 men, mean age 76.9±9.9 (range 34-100) with 741 (76%) older than 70 years. The mean age was higher in women than men; 35.8% of patients had atrial fibrillation, with higher prevalence in women than in men. Coronary artery disease represented the leading etiology while prevalence of non-ischemic heart failure was higher in women. New York Heart Association class was indicated in 926 patients. Left ventricular ejection fraction (LVEF) was measured in 503 patients; 18.4% of patients had a severely reduced LVEF40%. At least one hospital admission in the previous 12 months was registered in 39.6% of patients. One, two and more than two relevant comorbidities were present in 8.6%, 24.7% and 64.8% of patients, respectively. Arterial hypertension and coronary artery disease were more frequent in female. In conclusion, advanced age and clinical complexity were the main characteristics of HF patients hospitalized in the Internal Medicine Units in Campania. Gender differences also emerged from the analysis of demographic parameters and etiopathogenetic features. Some diagnostic and therapeutic aspects not in line with that recommended by the most recent HF international guidelines were registered.
机译：心力衰竭（HF）的特征是高患病率和住院率，对健康和社会产生重大影响;对其流行病学特征的了解仍然是评估医疗保健需求是否足够的主要手段。这项研究的目的是评估心律失常在坎帕尼亚地区（意大利）内科病房的患病率和患者的特征。我们招募了2014年4月1日至6月30日期间入院的所有HF患者，分为23个内科部门：975例患者（占5000例住院患者的19.5％），518例女性和457例男性，平均年龄76.9±9.9（范围34-100）有741个（76％）年龄超过70岁。女性的平均年龄高于男性; 35.8％的患者发生房颤，女性患病率高于男性。冠心病是主要病因，而非缺血性心力衰竭的患病率更高。纽约心脏协会分级为926名患者。测量503例患者的左室射血分数（LVEF）; 18.4％的患者LVEF严重降低了40％。在过去12个月中，至少有1例入院率为39.6％。在8.6％，24.7％和64.8％的患者中分别出现一种，两种和两种以上的合并症。女性的动脉高血压和冠状动脉疾病更为常见。总之，高龄和临床复杂性是在坎帕尼亚内科室住院的HF患者的主要特征。从人口统计学参数和病因特征分析中也出现了性别差异。已注册了一些与最新的HF国际指南所建议的诊断和治疗不符的方面。

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