Heart failure and multimorbidity in Australian general practice

Journal of Comorbidity
Clare J TaylorFd Richard Hobbs

Abstract

Heart failure (HF) is a serious condition that mostly affects older people. Despite the ageing population experiencing an increased prevalence of many chronic conditions, current guidelines focus on isolated management of HF. To describe the burden of multimorbidity in patients with HF being managed in general practice in Australia. Data from the Bettering the Evaluation And Care of Health (BEACH) programme were used to determine (i) the prevalence of HF, (ii) the number of co-existing long-term conditions, and (iii) the most common disease combinations in patients with HF. The study was undertaken over fifteen, 5-week recording periods between November 2012 and March 2016. The dataset included a total of 25,790 general practitioner (GP) encounters with patients aged ≥45 years, collected by 1,445 GPs. HF had been diagnosed in 1,119 of these patients, a prevalence of 4.34% (95% confidence interval [CI] 3.99-4.68) among patients at GP encounters, and 2.08% (95% CI 1.87-2.29) when applied to the general Australian population overall. HF rarely occurred in isolation, with 99.1% of patients having at least one and 53.4% having six or more other chronic illnesses. The most common pair of comorbidities among active patients with HF wa...Continue Reading

References

Jul 16, 2002·Heart·Michael Burch
Jun 2, 2005·Annals of Family Medicine·Martin FortinLise Lapointe
Aug 19, 2007·Heart·Arend Mosterd, Arno W Hoes
Aug 20, 2011·European Journal of Heart Failure·Carlos EscobarLuis Manzano
Apr 2, 2013·Current Opinion in Pharmacology·Clare J Taylor, F D Richard Hobbs
Aug 13, 2013·PloS One·Christopher HarrisonJoan Henderson
Oct 29, 2013·Nature Methods·Martin Krzywinski, Naomi Altman
Jan 24, 2014·European Journal of Heart Failure·Vincent M van DeursenAdriaan A Voors
Sep 23, 2016·BMJ : British Medical Journal·Caroline FarmerBruce Guthrie

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Citations

Jan 9, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Victar HsiehBarbara Hawkshaw
Feb 9, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Katherine Carleton-EagletonDiane Gibson

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Software Mentioned

SAS
BEACH

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