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I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes.

Publication ,  Journal Article
Albuquerque, DCD; Neto, JDDS; Bacal, F; Rohde, LEP; Bernardez-Pereira, S; Berwanger, O; Almeida, DR; Investigadores Estudo BREATHE,
Published in: Arq Bras Cardiol
June 2015

BACKGROUND: 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.

Duke Scholars

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Published In

Arq Bras Cardiol

DOI

EISSN

1678-4170

Publication Date

June 2015

Volume

104

Issue

6

Start / End Page

433 / 442

Location

Brazil

Related Subject Headings

  • Treatment Outcome
  • Registries
  • Quality of Health Care
  • Practice Guidelines as Topic
  • Outcome Assessment, Health Care
  • Middle Aged
  • Medical Records
  • Male
  • Humans
  • Hospitalization
 

Citation

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Albuquerque, D. C. D., Neto, J. D. D. S., Bacal, F., Rohde, L. E. P., Bernardez-Pereira, S., Berwanger, O., … Investigadores Estudo BREATHE, . (2015). I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq Bras Cardiol, 104(6), 433–442. https://doi.org/10.5935/abc.20150031
Albuquerque, Denilson Campos de, João David de Souza Neto, Fernando Bacal, Luiz Eduardo Paim Rohde, Sabrina Bernardez-Pereira, Otavio Berwanger, Dirceu Rodrigues Almeida, and Dirceu Rodrigues Investigadores Estudo BREATHE. “I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes.Arq Bras Cardiol 104, no. 6 (June 2015): 433–42. https://doi.org/10.5935/abc.20150031.
Albuquerque DCD, Neto JDDS, Bacal F, Rohde LEP, Bernardez-Pereira S, Berwanger O, et al. I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq Bras Cardiol. 2015 Jun;104(6):433–42.
Albuquerque, Denilson Campos de, et al. “I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes.Arq Bras Cardiol, vol. 104, no. 6, June 2015, pp. 433–42. Pubmed, doi:10.5935/abc.20150031.
Albuquerque DCD, Neto JDDS, Bacal F, Rohde LEP, Bernardez-Pereira S, Berwanger O, Almeida DR, Investigadores Estudo BREATHE. I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq Bras Cardiol. 2015 Jun;104(6):433–442.

Published In

Arq Bras Cardiol

DOI

EISSN

1678-4170

Publication Date

June 2015

Volume

104

Issue

6

Start / End Page

433 / 442

Location

Brazil

Related Subject Headings

  • Treatment Outcome
  • Registries
  • Quality of Health Care
  • Practice Guidelines as Topic
  • Outcome Assessment, Health Care
  • Middle Aged
  • Medical Records
  • Male
  • Humans
  • Hospitalization