Specialty-Related Differences in the Acute-Phase Treatment and Prognosis in Patients With Acute Heart Failure ― Insights From REALITY-AHF ―
Rattachement africain : jp, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The aim of this study was to assess specialty-related differences in the treatment for patients with acute heart failure (AHF) in the acute phase and subsequent prognostic differences. METHODS AND RESULTS: We analyzed hospitalizations for AHF in REALITY-AHF, a multicenter prospective registry focused on very early presentation and treatment in patients with AHF. All patients were classified according to the medical specialty of the physicians responsible for contributed most to decisions regarding the initial diagnosis and treatment after the emergency department (ED) arrival. Patients initially managed by emergency physicians (n=614) or cardiologists (n=911) were analyzed. After propensity-score matching, vasodilators were used less often by emergency physicians than by cardiologists at 90 min after ED arrival (29.8% vs. 46.1%, P<0.001); this difference was also observed at 6, 24, and 48 h. Cardiologists administered furosemide earlier than emergency physicians (67 vs. 102 min, P<0.001). However, the use of inotropes, noninvasive ventilation, and endotracheal intubation were similar between groups. In-hospital mortality did not differ between patients managed by emergency physicians and those managed by cardiologists (4.1% vs. 3.8%, odds ratio 1.12; 95% confidence interval 0.58-2.14). CONCLUSIONS: Despite differences in initial management, no prognostic difference was observed between emergency physicians and cardiologists who performed the initial management of patients with AHF.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Specialty-Related Differences in the Acute-Phase Treatment and Prognosis in Patients With Acute Heart Failure ― Insights From REALITY-AHF ―
- Date Crossref
- 25/12/2018
- Éditeur
- Japanese Circulation Society
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Nagoya University Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Juntendo University Cardiovascular Respiratory Sleep Medicine pays non établi dans la noticeUniversité ou école supérieure
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Kameda Medical Center Emergency and Trauma Center pays non établi dans la noticeÉtablissement de santé
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Washington University in St. Louis Division of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Sakakibara Hospital pays non établi dans la noticeÉtablissement de santé
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Musashino Red Cross Hospital pays non établi dans la noticeÉtablissement de santé
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St. Marianna University School of Medicine Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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St. Luke's International Hospital Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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Shiga Medical Center for Adults Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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Yokohama City University Medical Center Division of Cardiology pays non établi dans la noticeÉtablissement de santé
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Yokohama City University pays non établi dans la noticeUniversité ou école supérieure
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Saiseikai Fukuoka General Hospital Cardiovascular and Aortic Center pays non établi dans la noticeÉtablissement de santé
Department of Cardiology — Nagoya University, Cardiovascular Respiratory Sleep Medicine — Juntendo University et Emergency and Trauma Center — Kameda Medical Center, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.