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首页> 外文期刊>Journal of cardiac failure >Prescribing and emergency admissions for heart failure in greater Glasgow.
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Prescribing and emergency admissions for heart failure in greater Glasgow.

机译:格拉斯哥大区因心力衰竭而开的处方和急诊室。

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BACKGROUND: We sought to determine whether there is an association between the rate of prescription of angiotensin-converting enzyme (ACE) inhibitors and the rate of hospitalization for heart failure. METHODS AND RESULTS: We conducted a cross-sectional study linking prescribing data with hospital admission data from 215 primary health care practices in Greater Glasgow, United Kingdom. We obtained numbers of prescriptions of diuretics. ACE inhibitors, and digoxin and numbers of admissions for heart failure. The mean practice rate of diuretic prescription was 0.7 per patient per year, the mean practice rate of ACE inhibitor prescription was 0.06 per patient per year, the mean practice rate of digoxin prescription was 0.09 per patient per year, and the mean practice rate of admission for heart failure was 3.29 per 1,000 patients per year. There was a strong and significant association between the rate of diuretic prescription and the rate of digoxin prescription. There was only a moderate inverse association between the ratio of ACE inhibitor to diuretic prescriptions and the rate of admissions for heart failure. CONCLUSIONS: ACE inhibitors are underused. Rates of diuretic and digoxin prescriptions correlate strongly and are presumably both markers for similar cardiovascular morbidity. There was no evidence that ACE inhibitors modulated the rate of heart failure admissions.
机译:背景:我们试图确定血管紧张素转换酶(ACE)抑制剂的处方率与心力衰竭住院率之间是否存在关联。方法和结果:我们进行了一项横断面研究,将处方数据与来自英国大格拉斯哥的215种主要卫生保健措施的入院数据联系起来。我们获得了一些利尿药的处方。 ACE抑制剂,地高辛和心力衰竭的入院人数。利尿剂处方的平均使用率是每名患者每年0.7,ACE抑制剂处方的平均使用率是每名患者每年0.06,地高辛处方的平均使用率是每名患者每年0.09,入院的平均使用率心力衰竭的发生率为每年每1,000名患者3.29例。利尿剂处方率与地高辛处方率之间有很强的显着关联。 ACE抑制剂与利尿剂的比例与心力衰竭的住院率之间只有中等程度的负相关。结论:ACE抑制剂未得到充分利用。利尿剂和地高辛处方的发生率密切相关,并且可能是相似的心血管疾病发病率的两个指标。没有证据表明ACEI抑制剂可调节心力衰竭的住院率。

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