Comprehensive Heart Failure Care pilot study: starting point and expected developments

Nessler, Jadwiga; Kozierkiewicz, Adam; Gackowski, Andrzej; Ponikowski, Piotr; Hryniewiecki, Tomasz; Gruchała, Marcin; Gąsior, Mariusz; Grodzicki, Tomasz; Kaźmierczak, Jarosław; Legutko, Jacek; Leszek, Przemysław; Miłkowski, Maciej; Rozentryt, Piotr; Sierpiński, Radosław; Straburzyńska‐Migaj, Ewa; Śliwczyński, Andrzej; Uchmanowicz, Izabella; Windak, Adam; Witkowski, Adam; Zapaśnik, Andrzej; Szumowski, Łukasz

doi:10.33963/kp.15035

Cited by 12 publications

(16 citation statements)

References 7 publications

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“…All these and other ideas have been formulated in the programme 'Comprehensive Heart Failure Care' developed by Polish Cardiac Society, which is expected to launch its pilot phase. 43 Table S1 Raw numbers of heart failure hospitalisations and in-hospital deaths during heart failure hospitalisation by gender in consecutive years in Poland (2010-2019). Table S2.…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, the emphasis should be laid on the measures that can prevent HF hospitalizations, such us screening programmes for HF, 42 an optimization and investments in outpatient care (both general practitioners and cardiologists), the networking between wards of different reference level, and the education and support for patients and their caregivers. All these and other ideas have been formulated in the programme ‘Comprehensive Heart Failure Care’ developed by Polish Cardiac Society, which is expected to launch its pilot phase 43 …”

Section: Discussionmentioning

confidence: 99%

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10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

et al. 2020

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Aims Heart failure (HF) remains a major public health challenge worldwide. Contemporary epidemiological data on HF hospitalization rates and related in-hospital mortality are scarce also in Poland. The aim of the study was to determine the trends in hospitalization rates due to HF and related in-hospital mortality in Poland in the recent decade. Methods and results Data on HF hospitalizations and in-hospital mortality in patients aged >17 years in Poland between 2010 and 2019 were obtained from the central database of the Polish National Health Fund. Hospitalizations with either primary or secondary diagnosis of HF were identified using the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes (I50, I42, J81 with extensions, and R57.0). There were 4 259 698 HF hospitalizations and 608 577 in-hospital deaths (14% in-hospital mortality) reported during 2010-2019 in Poland. During this period, there was a steady increase in the number of HF hospitalizations per 1000 inhabitants in subsequent years, being more pronounced in men than in women (in 2019: 16 and 13 HF hospitalizations per 1000 inhabitants in men and women, respectively). The relative risk of HF hospitalization was higher in men than in women, and this gender-related difference steadily increased from 9% in 2010 to 25% in 2019. During 2010-2019, there was an increase in the number of HF hospitalizations per 1000 inhabitants in subsequent age groups, with a trend being more pronounced in men than in women (129 and 99 HF hospitalizations per 1000 inhabitants in men and women aged ≥80 years, respectively). During this period, there was a slight increase in in-hospital mortality during HF hospitalization in subsequent years, being more pronounced in women than in men (in 2019: 16% and 14% of in-hospital mortality in women and men, respectively). The relative risk of in-hospital mortality during HF hospitalization was higher in women than in men, and this gender-related difference steadily increased from 8% in 2010 to 18% in 2019. During this period, in-hospital mortality during HF hospitalization was~12% for women and men aged 18-29 years, whereas the highest values of in-hospital mortality reached~19% for patients aged ≥80 years. Conclusions We have observed steady growing trends in HF hospitalization rates and related in-hospital mortality in Poland over the last decade. Both age and gender have differentiated the reported epidemiological patterns.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

et al. 2020

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“…The risk of developing HF increases with age and was assessed as follows: 28.5% for women; and 33% for men over 55 years of age [4]. HF is associated with poor prognosis, as evidenced by high rates of hospitalization and mortality (about 40% of patients die within 5 years after their first hospitalization for HF) [5,6]. In Poland, as many as 53% of patients with HF are re-admitted to the hospital, and every fourth patient required rehospitalization within 30 days of discharge [5,6].…”

Section: Epidemiology Of Heart Failurementioning

confidence: 99%

Expert opinion of the Heart Failure Working Group of the Polish Cardiac Society on the use of dapagliflozin in the treatment of heart failure with reduced ejection fraction

Nessler¹,

Siniarski²,

Leszek³

et al. 2021

Kardiol Pol

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Heart failure (HF) is a global health problem inherent in an ageing population with coexisting cardiovascular diseases. Based on the data from the National Health Fund (NFZ) currently, approximately 1.2 million Polish people suffer from HF, and 140,000 of them die annually. Recently Poland was ranked 5th among the European Union countries in terms of the number of patients with diagnosed HF and 1st in terms of the number of HF hospitalizations (547 per 100,000 population) among 34 countries associated in the Organization for Economic Cooperation and Development (OECD).

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“…The prevalence of HF increases in parallel with the growing population burden of ageing and comorbidities, thus posing a significant problem to healthcare services [2]. Available data indicate that the number of individuals with HF in Poland exceeds 750 000, and will shortly increase by ¼ [3]. Accordingly, effective strategies to prevent HF and improve management of affected patients are a matter of ongoing interest.…”

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confidence: 99%

“…Accordingly, effective strategies to prevent HF and improve management of affected patients are a matter of ongoing interest. An example of a targeted policy in this context is the system of coordinated care for HF patients including outpatient care, pharmacotherapy, interventional treatment and rehabilitation, which has been recently proposed in Poland [3].…”

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Echocardiography in patients with heart failure: recent advances and future perspectives

Kosmala¹,

Marwick²,

Przewlocka‐Kosmala³

2021

Kardiol Pol

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Comprehensive Heart Failure Care pilot study: starting point and expected developments

Cited by 12 publications

References 7 publications

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

Expert opinion of the Heart Failure Working Group of the Polish Cardiac Society on the use of dapagliflozin in the treatment of heart failure with reduced ejection fraction

Echocardiography in patients with heart failure: recent advances and future perspectives

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