Source:http://linkedlifedata.com/resource/pubmed/id/16490439
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
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| pubmed:dateCreated |
2006-2-21
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| pubmed:abstractText |
Previous studies have shown that the quality of congestive heart failure (CHF) treatment for hospitalized patients varies. The goal of this study was to evaluate the compliance of physicians at a large, inner-city teaching hospital with current evidence-based guidelines. A retrospective review of the medical records of 104 patients admitted with CHF was conducted. Quality-of-care indicators were assessed, including the use of echocardiograms, the administration of angiotensin-converting enzyme (ACE) inhibitors and beta blockers to appropriate patients, and lifestyle and medication counseling at discharge. The assessment of left ventricular (LV) function was documented in 96.1% of patients (n = 100). A total of 65 patients (92.8%) with systolic dysfunction were considered to be ideal candidates for ACE inhibitor therapy. Of these 65 patients, 58 (89.2%) were discharged on ACE inhibitors. Of 41 patients with LV systolic dysfunction who were considered to be ideal candidates for beta-blocker therapy, only 10 (24.4%) were discharged on beta-blocker therapy. Of all patients with CHF, 50% received discharge counseling on medication compliance, 48% received counseling on a low-salt diet, and only 9% were told to monitor daily weight. This study shows that in a major academic teaching hospital, there is a need for improvement in the use of beta-blocker therapy as well as greater emphasis on patient education strategies regarding diet, medication adherence, and monitoring daily weight.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
AIM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:month |
Mar
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| pubmed:issn |
0002-9149
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:day |
1
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| pubmed:volume |
97
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
690-3
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:16490439-Adrenergic beta-Antagonists,
pubmed-meshheading:16490439-African Americans,
pubmed-meshheading:16490439-Aged,
pubmed-meshheading:16490439-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:16490439-Body Weight,
pubmed-meshheading:16490439-Counseling,
pubmed-meshheading:16490439-Diet, Sodium-Restricted,
pubmed-meshheading:16490439-Diuretics,
pubmed-meshheading:16490439-Female,
pubmed-meshheading:16490439-Georgia,
pubmed-meshheading:16490439-Guideline Adherence,
pubmed-meshheading:16490439-Heart Failure,
pubmed-meshheading:16490439-Hospitals, University,
pubmed-meshheading:16490439-Humans,
pubmed-meshheading:16490439-Male,
pubmed-meshheading:16490439-Middle Aged,
pubmed-meshheading:16490439-Outcome and Process Assessment (Health Care),
pubmed-meshheading:16490439-Patient Admission,
pubmed-meshheading:16490439-Patient Compliance,
pubmed-meshheading:16490439-Patient Education as Topic,
pubmed-meshheading:16490439-Physician's Practice Patterns,
pubmed-meshheading:16490439-Quality Indicators, Health Care,
pubmed-meshheading:16490439-Retrospective Studies,
pubmed-meshheading:16490439-Stroke Volume,
pubmed-meshheading:16490439-Ventricular Dysfunction, Left
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| pubmed:year |
2006
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| pubmed:articleTitle |
Quality of care in African-American patients admitted for congestive heart failure at a university teaching hospital.
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| pubmed:affiliation |
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
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| pubmed:publicationType |
Journal Article
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