Геронтология и гериатрия
THE ANALYSIS OF PRE-HOSPITAL TREATMENT IN GERIATRIC PATIENTS WITH ACUTE HEART FAILURE
I.V. Podobed1, E.S. Butikova1, A.S. Rukavishnikov2, К.I. Prashchayeu1,3, E.I. Podrubilin4
1. Federal State Autonomous Educational Institution of Higher Education «Belgorod State National Research University», Belgorod
2. Tosno Clinical Interdistrict Hospital, Tosno, Leningrad region
3. Independent noncommercial organization «Research Medical Centre «GERONTOLOGY», Moscow
4. State Budgetary Institution of Healthcare of the Moscow «Research Institute of Emergency Medicine named after N. V. Sklifosovsky» Department Healthcare of the Moscow, Moscow
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Summary:
Introduction. The prognosis for heart failure remains poor and the mortality rate is high, regardless of the existing advances in treatment. An important component of treatment is drug therapy. The real situation of outpatient therapy for patients with CHF remains poorly understood. In this connection, the study of outpatient therapy for patients with CHF is an actual task.
Objective: to study the scope of prehospital drug therapy in patients with decompensated CHF.
Materials and methods: included 107 patients aged 46-95 years with decompensated CHF functional class III-IV (FC). 4 groups were formed: 1st - 29 people. (53.9 ± 4.5 years old) middle age (46-60 years old); 2nd - 31 people (68.3 ± 5.0 years) elderly (61-74 years); 3rd - 40 people (81.5 ± 4.1 years) old age (75-89 years). 4th - 7 people (92.4 ± 1.4 years) of the age of centenarians (> 90 years). Patients underwent: examination, electrocardiography (ECG), echocardiography (EchoCG), coagulogram with determination of the level of international normalized ratio (INR).
Results: there was a significant decrease in the number of patients with reduced ejection fraction (EF) (p = 0.03) and an increase in the number with preserved EF (50% or more) (p = 0.02) with increasing age. There was an increase in the number of patients receiving digoxin (
Keywords chronic heart failure, outpatient drug therapy, pre-hospital drug therapy, atrial fibrillation, anticoagulant therapy.
Bibliographic reference:
I.V. Podobed, E.S. Butikova, A.S. Rukavishnikov, К.I. Prashchayeu, E.I. Podrubilin, THE ANALYSIS OF PRE-HOSPITAL TREATMENT IN GERIATRIC PATIENTS WITH ACUTE HEART FAILURE // Scientific journal «Current problems of health care and medical statistics». - 2021. - №3;
URL: http://healthproblem.ru/magazines?textEn=670 (date of access: 03.12.2024).
URL: http://healthproblem.ru/magazines?textEn=670 (date of access: 03.12.2024).
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