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摘要


Background: Heart failure (HF) is a global health problem. The Taiwan Society of Cardiology-Heart Failure with reduced Ejection Fraction (TSOC-HFrEF) registry was a multicenter, observational survey of patients admitted with HFrEF in Taiwan. The aim of this study was to report the one-year outcome in this large-cohort of hospitalized patients presenting with acute decompensated HFrEF. Methods: Patients hospitalized for acute HFrEF were recruited in 21 hospitals in Taiwan. A total of 1509 patients were enrolled into the registry by the end of October 2014. Clinical status, readmission rates and dispensed medications were collected and analyzed 1 year after patient index hospitalization. Results: Our study indicated that re-hospitalization rates after HFrEF were 31.9% and 38.5% at 6 and 12 months after index hospitalization, respectively. Of these patients, 9.7% of themwere readmittedmore than once. At 6 and 12 months after hospital discharge, all-cause mortality rates were 9.5% and 15.9%, respectively, and cardiovascular mortality rateswere 6.8% and 10.5%, respectively. Twenty-three patients (1.5%) underwent heart transplantation. During a follow-up period of 1 year, 46.4% of patients were free from mortality, HF re-hospitalization, left ventricular assist device use and heart transplantation. At the conclusion of follow-up, 57.5% of patients were prescribed either with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers; also, 66.3% were prescribed with beta-blockers and 40.8% were prescribed with mineralocorticoid receptor antagonists. Conclusions: The TSOC-HFrEF registry showed evidence of suboptimal practice of guideline-directed medical therapy and high HF re-hospitalization rate in Taiwan. The one-year mortality rate of the TSOC-HFrEF registry remained high. Ultimately, our data indicated a need for further improvement in HF care.

被引用紀錄


陳盈憲、張嘉玲、李啟明(2022)。心衰竭照護之跨領域整合性個案管理台灣醫學26(1),41-46。https://doi.org/10.6320%2fFJM.202201_26(1).0005
黃惠群、王昭慧、蔡峰鈞(2019)。長期使用植入性心室輔助器的重要關鍵-驅動線傷口照護護理雜誌66(4),87-94。https://doi.org/10.6224%2fJN.201908_66(4).11
鍾雨珍、陳俞琪(2020)。心腎症候群的體液處置原則概論榮總護理37(2),184-191。https://doi.org/10.6142%2fVGHN.202006_37(2).0009
CHEN, H. M., WANG, S. T., WU, S. J., LEE, C. S., FETZER, S. J., & TSAI, L. M. (2020). Effects of Predischarge Patient Education Combined With Postdischarge Follow-Ups on Self-Care, Readmission, Sleep, and Depression in Patients With Heart Failure. The Journal of Nursing Research, 28(5), 1-11. https://doi.org/10.1097%2fjnr.0000000000000395

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