The EuroHeart Failure survey programme - A survey on the quality of care among patients with heart failure in Europe. Part 1

Patient characteristics and diagnosis

J. G F Cleland, K. Swedberg, F. Follath, M. Komajda, A. Cohen-Solal, J. C. Aguilar, R. Dietz, A. Gavazzi, R. Hobbs, J. Korewicki, H. C. Madeira, V. S. Moiseyev, I. Préda, W. H. Van Gilst, J. Widimsky, N. Freemantle, Joanne Eastaugh, J. Mason

Research output: Contribution to journalArticle

1041 Citations (Scopus)

Abstract

Background: The European Society of Cardiology (ESC) has published guidelines for the investigation of patients with suspected heart failure and, if the diagnosis is proven, their subsequent management. Hospitalization provides a key point of care at which time diagnosis and treatment may be refined to improve outcome for a group of patients with a high morbidity and mortality. However, little international data exists to describe the features and management of such patients. Accordingly, the EuroHeart Failure survey was conducted to ascertain if appropriate tests were being performed with which to confirm or refute a diagnosis of heart failure and how this influenced subsequent management. Methods: The survey screened consecutive deaths and discharges during 2000-2001 predominantly from medical wards over a 6-week period in 115 hospitals from 24 countries belonging to the ESC, to identify patients with known or suspected heart failure. Results: A total of 46,788 deaths and discharges were screened from which 11,327 (24%) patients were enrolled with suspected or confirmed heart failure. Forty-seven percent of those enrolled were women. Fifty-one percent of women and 30% of men were aged >75 years. Eighty-three percent of patients had a diagnosis of heart failure made on or prior to the index admission. Heart failure was the principal reason for admission in 40%. The great majority of patients (>90%) had had an ECG, chest X-ray, haemoglobin and electrolytes measured as recommended in ESC guidelines, but only 66% had ever had an echocardiogram. Left ventricular ejection fraction had been measured in 57% of men and 41% of women, usually by echocardiography (84%) and was

Original languageEnglish
Pages (from-to)442-463
Number of pages22
JournalEuropean Heart Journal
Volume24
Issue number5
DOIs
Publication statusPublished - Mar 2003

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Quality of Health Care
Heart Failure
Cardiology
Point-of-Care Systems
Guidelines
Surveys and Questionnaires
Stroke Volume
Electrolytes
Echocardiography
Electrocardiography
Hemoglobins
Hospitalization
Thorax
X-Rays
Morbidity
Mortality

Keywords

  • Diagnosis
  • Heart failure
  • Mortality
  • Re-admission
  • Survey

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

The EuroHeart Failure survey programme - A survey on the quality of care among patients with heart failure in Europe. Part 1 : Patient characteristics and diagnosis. / Cleland, J. G F; Swedberg, K.; Follath, F.; Komajda, M.; Cohen-Solal, A.; Aguilar, J. C.; Dietz, R.; Gavazzi, A.; Hobbs, R.; Korewicki, J.; Madeira, H. C.; Moiseyev, V. S.; Préda, I.; Van Gilst, W. H.; Widimsky, J.; Freemantle, N.; Eastaugh, Joanne; Mason, J.

In: European Heart Journal, Vol. 24, No. 5, 03.2003, p. 442-463.

Research output: Contribution to journalArticle

Cleland, JGF, Swedberg, K, Follath, F, Komajda, M, Cohen-Solal, A, Aguilar, JC, Dietz, R, Gavazzi, A, Hobbs, R, Korewicki, J, Madeira, HC, Moiseyev, VS, Préda, I, Van Gilst, WH, Widimsky, J, Freemantle, N, Eastaugh, J & Mason, J 2003, 'The EuroHeart Failure survey programme - A survey on the quality of care among patients with heart failure in Europe. Part 1: Patient characteristics and diagnosis', European Heart Journal, vol. 24, no. 5, pp. 442-463. https://doi.org/10.1016/S0195-668X(02)00823-0
Cleland, J. G F ; Swedberg, K. ; Follath, F. ; Komajda, M. ; Cohen-Solal, A. ; Aguilar, J. C. ; Dietz, R. ; Gavazzi, A. ; Hobbs, R. ; Korewicki, J. ; Madeira, H. C. ; Moiseyev, V. S. ; Préda, I. ; Van Gilst, W. H. ; Widimsky, J. ; Freemantle, N. ; Eastaugh, Joanne ; Mason, J. / The EuroHeart Failure survey programme - A survey on the quality of care among patients with heart failure in Europe. Part 1 : Patient characteristics and diagnosis. In: European Heart Journal. 2003 ; Vol. 24, No. 5. pp. 442-463.
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AU - Follath, F.

AU - Komajda, M.

AU - Cohen-Solal, A.

AU - Aguilar, J. C.

AU - Dietz, R.

AU - Gavazzi, A.

AU - Hobbs, R.

AU - Korewicki, J.

AU - Madeira, H. C.

AU - Moiseyev, V. S.

AU - Préda, I.

AU - Van Gilst, W. H.

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AU - Eastaugh, Joanne

AU - Mason, J.

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