scholarly journals Editorial for the Paper Titled “Hospitalization for Heart Failure in the USA, UK, Taiwan and Japan: An International Comparison of Administrative Health Records on 417,385 Individual Patients

2021 ◽  
Author(s):  
NAOKO P. Kato ◽  
KOICHIRO Kinugawa
Keyword(s):  
Heart Failure ◽  
International Comparison ◽  
Health Records ◽  
The Usa

Managing heart failure – home or hospital?

1992 ◽  
Vol 30 (16) ◽  
pp. 61-63
Keyword(s):  
Heart Failure ◽  
General Practice ◽  
General Population ◽  
Mortality Rates ◽  
The Usa ◽  
The Uk

In the USA, heart failure affects about 1% of people in their 50s, rising to 10% of those in their 80s,1 and the figure is probably higher in the UK. The symptoms are distressing, usually relentless, and associated with mortality rates four to eight times greater than those in the general population of the same age.1 This article reviews the treatment of uncomplicated heart failure, concentrating on its management in general practice.

Ventricular arrhythmias in seniors with heart failure: present dilemmas and therapeutic considerations: a systematic review

2021 ◽  
Vol 17 ◽  
Author(s):  
Tuoyo O Mene-Afejuku ◽  
Abayomi O Bamgboje ◽  
Modele O Ogunniyi ◽  
Ola Akinboboye ◽  
Uzoma N Ibebuogu
Keyword(s):  
Heart Failure ◽  
Ventricular Arrhythmias ◽  
Public Health Problem ◽  
Developed Countries ◽  
Cardiac Resynchronization ◽  
Cochrane Library ◽  
Global Public Health ◽  
Device Therapy ◽  
Ventricular Ejection Fraction ◽  
The Usa

Background: Heart failure (HF) is a global public health problem which affects over 23 million people worldwide. The prevalence of HF is higher among seniors in the USA and other developed countries. Ventricular arrhythmias (VAs) account for 50% of deaths among patients with HF. We aim to elucidate on the factors associated with VAs among seniors with HF, as well as therapies that may improve outcomes. Methods: PubMed, Web of Science, Scopus, Cochrane Library databases, Science Direct, and Google Scholar were searched using specific key words. The reference lists of relevant articles were searched for additional studies related to HF and VAs among seniors as well as associated outcomes. Results: The prevalence of VAs increases with worsening HF. 24-hour Holter electrocardiogram may be useful in risk stratifying patients for device therapy if they do not meet the criterion of low ventricular ejection fraction. Implantable cardiac defibrillators (ICDs) are superior to anti-arrhythmic drugs in reducing mortality in patients with HF. Guideline directed medical therapy (GDMT) together with device therapy to reduce symptoms may be required. In general, the proportion of seniors on GDMT is low. A combination of ICDs and cardiac resynchronization therapy may improve outcomes in select patients. Conclusion: Seniors with HF and VAs have a high mortality even with the use device therapy and GDMT. The holistic effect of device therapy on outcomes among seniors with HF is equivocal. More studies focused on seniors with advanced HF as well as therapeutic options is therefore required.

Adoption of Electronic Health Care Records

2013 ◽  
pp. 148-165
Author(s):  
Jerald D. Hatton ◽  
Thomas M. Schmidt ◽  
Jonatan Jelen
Keyword(s):  
Electronic Health Records ◽  
New Technologies ◽  
Phenomenological Study ◽  
Cost Effective ◽  
Research Quality ◽  
Control Cost ◽  
Health Records ◽  
The Usa ◽  
Electronic Health ◽  
Support Of Research

Political, economic, and safety concerns have militated for the adoption of Electronic Health Records by physicians in the United States, but current rates of adoption have failed to penetrate the 50% level. A qualitative phenomenological study of practicing physicians reveals stumbling blocks to adoption. Maintaining a physician’s perceived sense of control of the process is key. Electronic Health Records (EHRs) are critical to the support of research, quality control, cost reduction, and implementation of new technologies and methods in healthcare. Progress in the USA towards adoption of standardized EHRs has been halting. The authors discuss the results of a phenomenological study of physicians and draw conclusions that will assist all stakeholders in building a more consistent, comprehensive, and cost-effective healthcare system. When attempting to persuade physicians to migrate to an EMR-based solution, a strong focus on the control that physicians will have should be emphasized. The transition to an EHR system is eased by clearly articulating early in the process the potential benefits and the degree of control physicians can have in the use of the applications.

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