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Submitted: 22 September 2009 Modified: 15 August 2019
HERDIN Record #: PCHRD092109060927

The DEAR Heart Program: The profile of the Filipino adult symptomatic heart failure patients based on the data derived from pilot phase of the D.E.A.R. Heart Program from Nov. 1, 2002 to Dec. 31, 2004. The National Heart Failure Registry Program (hospital-based).

Sharon-Marisse Lacson,
Annette Borromeo,
Ramon Abarquez,
Delfin Encarnacion,
Carmencita Lingan,
Maria Concerias-Lim Quizon

BACKGROUND: The DEAR Heart(Dysfunction Established And Registered adult symptomatic Heart failure patients) Program is a developmental registry program to surveil adult symptomatic heart failure(HF) patients being admitted to tertiary hospitals in the Philippines.


METHODS: Adult symptomatic HF patients admitted to the ER or direct- to-room are logged on to die HF logbook, a DEAR Heart registry form is inserted to the chart, and data are encoded and analyzed utilizing Epi- Info 6.


RESULTS: Data analyses froml 078 patients registered in 6 pilot hospitals from Nov. 1, 2002 to Dec. 31,2004 are as follows: The mean age of patients is 60 years(median age of 62); 57 percent are male; 1/3 of patients are jobless; 52 percent are first admissions and 48 percent are readmissions; median length of hospital stay (LOS) is 7 days and die mean LOS is 10 days; abnormal chest/lung findings are present in 91 percent of patients; 98 percent of chest x-rays done are abnormal; among patients who underwent 2DEcho, 52 percent have preserved LV systolic function; Diuretics are the most commonly used drugs (76 percent on admission, 68 percent on discharge); The most common risk factors for the development of HF are: HPN (64 percent), Smoking (54 percent), DM(41 percent), Dyslipidemia (38 percent), and Overweight(21 percent); 30 percent of patients have no identifiable precipitating causes for HF; Underlying causes of HF are: Ischemic Heart Disease Syndromes 52 percent, Valvular Heart Diseases 20 percent, Cardiomyopathies 11 percent, Uncontrolled Hypertension 5.7 percent, Tachyarrhythmias 4 percent, and Congenital Heart Diseases 3.4 percent; The mortality rate is 10 percent; 55 percent of deadis are attributable to progression of HF, 32 percent to cardiac arrhythmias or SCD, and 13 percent to causes other than HF; distribution of comorbid problems are: HPN (12.2 percent), DM (7.4 percent), Chronic Renal Insufficiency(3.6 percent), COPD (1.6 percent), Hyperthyroidism(l.l percent), Secondary HPN (0.7 percent), and Hypothyroidism(0.3 percent); Strongly associated with in-hospital mortality are chest pain as chief complaint and a heart rate of >95/min.


CONCLUSION: The DEAR Heart Program provides us with the opportunity to profile adult symptomatic HF patients in the Philippines. This leads to identification of research needs and improvement in treatment protocols among this subset of cardiac patients.

Publication Type
Journal
Publication Sub Type
Others
Title
Philippine Journal of Cardiology
Frequency
Semi-Annual
Publication Date
January-June 2007
Volume
35
Issue
1
Page(s)
32-43
LocationLocation CodeAvailable FormatAvailability
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