European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions

被引:584
作者
Crespo-Leiro, Maria G. [1 ]
Anker, Stefan D. [2 ]
Maggioni, Aldo P. [3 ,4 ]
Coats, Andrew J. [5 ]
Filippatos, Gerasimos [6 ]
Ruschitzka, Frank [7 ]
Ferrari, Roberto [8 ,9 ,10 ]
Piepoli, Massimo Francesco [11 ]
Delgado Jimenez, Juan F. [12 ]
Metra, Marco [13 ]
Fonseca, Candida [14 ]
Hradec, Jaromir [15 ]
Amir, Offer [16 ,17 ]
Logeart, Damien [18 ]
Dahlstroem, Ulf [19 ,20 ]
Merkely, Bela [21 ]
Drozdz, Jaroslaw [22 ]
Goncalvesova, Eva [23 ]
Hassanein, Mahmoud [24 ]
Chioncel, Ovidiu [25 ]
Lainscak, Mitja [26 ]
Seferovic, Petar M. [27 ]
Tousoulis, Dimitris [28 ]
Kavoliuniene, Ausra [29 ]
Fruhwald, Friedrich [30 ]
Fazlibegovic, Emir [31 ]
Temizhan, Ahmet [32 ]
Gatzov, Plamen [33 ]
Erglis, Andrejs [34 ]
Laroche, Cecile [3 ]
Mebazaa, Alexandre [35 ]
机构
[1] Complexo Hosp Univ A Coruna, Unidad Insuficiencia Cardiaca & Avanzada Trasplan, CHUAC, La Coruna, Spain
[2] Univ Med Ctr Gottingen UMG, Dept Cardiol & Pneumol, Innovat Clin Trials, Gottingen, Germany
[3] European Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France
[4] ANMCO Res Ctr, Florence, Italy
[5] Monash Univ, Clayton, Vic 3800, Australia
[6] Athens Univ Hosp Attikon, Athens, Greece
[7] Univ Heart Ctr Zurich, Dept Cardiol, Heart Failure Clin & Transplantat, Zurich, Switzerland
[8] Univ Hosp Ferrara, Dept Cardiol, Cotignola, Italy
[9] Univ Hosp Ferrara, LTTA Ctr, Cotignola, Italy
[10] Maria Cecilia Hosp, GVM Care & Res, ES Hlth Sci Fdn, Cotignola, Italy
[11] AUSL Piacenza, Dept Cardiac, Heart Failure Unit, Guglielmo da Saliceto Hosp, Piacenza, Italy
[12] Univ Hosp 12 Octubre, Dept Cardiol, Madrid, Spain
[13] Univ Brescia, Dept Med & Surg Specialties, Radiol Sci & Publ Hlth, Cardiol, Brescia, Italy
[14] Univ Nova Lisboa, Fac Ciencias Med, S Francisco Xavier Hosp, CHLO NOVA Med Sch,Heart Failure Unit, P-1200 Lisbon, Portugal
[15] Charles Univ Prague, Fac Gen Hosp, Dept Med 3, Prague, Czech Republic
[16] Bar Ilan Univ, Poriya Med Ctr, IL-52100 Ramat Gan, Israel
[17] Bar Ilan Univ, Fac Med, IL-52100 Ramat Gan, Israel
[18] Univ Paris Diderot, Inserm 942, Hop Lariboisiere, AP HP, Paris, France
[19] Linkoping Univ, Dept Cardiol, Linkoping, Sweden
[20] Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden
[21] Semmelweis Univ, Ctr Heart, Budapest, Hungary
[22] Med Univ Lodz, Dept Cardiol, Lodz, Poland
[23] Natl Cardiovasc Inst, Dept Heart Failure Transplantat, Bratislava, Slovakia
[24] Univ Alexandria, Alexandria, Egypt
[25] Univ Medicina Carol Davila, Inst Urgente Boli Cardiovasc CC Ilie, Bucharest, Romania
[26] Gen Hosp Celje, Dept Cardiol, Celje, Slovenia
[27] Univ Belgrade, Sch Med, Dept Cardiol, Clin Ctr Serbia, Belgrade, Serbia
[28] Univ Athens, Sch Med, Cardiol Dept 1, Athens, Greece
[29] Lithuanian Univ Hlth Sci, Dept Cardiol, Kaunas, Lithuania
[30] Med Univ, Dept Cardiol, Graz, Austria
[31] Clin Hosp Mostar, Dept Internal Med, Mostar, Bosnia & Herceg
[32] Turkey Yuksek Ihtisas Hosp, Cardiol Clin, Ankara, Turkey
[33] Univ Hosp Lozenets, Sofia, Bulgaria
[34] Pauls Stradins Clin Univ Hosp, Riga, Latvia
[35] Univ Paris Diderot, Hop Lariboisiere, Inserm 942, Paris, France
关键词
Heart failure; Registry; Acute; Chronic; Survival; Outcomes; EVEREST TRIAL; TASK-FORCE; ASSOCIATION; GUIDELINES; CARE; HOSPITALIZATIONS; COLLABORATION; MANAGEMENT; DIAGNOSIS; COUNTRIES;
D O I
10.1002/ejhf.566
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
AimsThe European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT-R) was set up with the aim of describing the clinical epidemiology and the 1-year outcomes of patients with heart failure (HF) with the added intention of comparing differences between participating countries. Methods and resultsThe ESC-HF-LT-R is a prospective, observational registry contributed to by 211 cardiology centres in 21 European and/or Mediterranean countries, all being member countries of the ESC. Between May 2011 and April 2013 it collected data on 12440 patients, 40.5% of them hospitalized with acute HF (AHF) and 59.5% outpatients with chronic HF (CHF). The all-cause 1-year mortality rate was 23.6% for AHF and 6.4% for CHF. The combined endpoint of mortality or HF hospitalization within 1year had a rate of 36% for AHF and 14.5% for CHF. All-cause mortality rates in the different regions ranged from 21.6% to 36.5% in patients with AHF, and from 6.9% to 15.6% in those with CHF. These differences in mortality between regions are thought reflect differences in the characteristics and/or management of these patients. ConclusionThe ESC-HF-LT-R shows that 1-year all-cause mortality of patients with AHF is still high while the mortality of CHF is lower. This registry provides the opportunity to evaluate the management and outcomes of patients with HF and identify areas for improvement.
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收藏
页码:613 / 625
页数:13
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