Document Detail

Factors precipitating congestive heart failure--role of patient non-compliance.
MedLine Citation:
PMID:  10999123     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study was aimed to identify systematically the precipitating factors causing decompensation of heart failure and subsequent hospitalisation. We specially assessed the role of patient non-compliance with therapy as an important precipitating factor for heart failure, since it has not been systematically studied previously in an Indian setting where rheumatic heart disease is common. METHODS: In this cross-sectional analytical study, 125 cases of congestive heart failure hospitalized in Government Medical College, Nagpur, were studied. All the patients were thoroughly evaluated and investigated to identify the precipitating factors for heart failure. A patient was categorized as being non-compliant with therapy if he/she was consuming less than 80% prescribed drugs (assessed by pill count) or was non-compliant with dietary advice (assessed by an interviewer-administered questionnaire). RESULTS: Rheumatic heart disease was the commonest underlying heart disease (52.8%) followed by ischemic and/or hypertensive heart disease (27.2%). The most common precipitating factor was patient non-compliance with diet or drug therapy (49.6%) followed by arrhythmias (16.8%), uncontrolled hypertension (14.4%), infective endocarditis (13.6%), anemia (14.4%) and infections (11.2%). CONCLUSION: The results emphasize the importance of patient non-compliance with prescribed therapy as a leading precipitating factor for congestive heart failure in an Indian setting, which can be prevented by appropriate cost-effective strategies aimed to improve patient compliance.
P P Joshi; C J Mohanan; S P Sengupta; R G Salkar
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the Association of Physicians of India     Volume:  47     ISSN:  0004-5772     ISO Abbreviation:  J Assoc Physicians India     Publication Date:  1999 Mar 
Date Detail:
Created Date:  2000-10-11     Completed Date:  2000-10-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7505585     Medline TA:  J Assoc Physicians India     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  294-5     Citation Subset:  IM    
Clinical Epidemiology Unit, Govt Medical College, Nagpur.
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MeSH Terms
Cross-Sectional Studies
Evaluation Studies as Topic
Heart Failure / drug therapy,  epidemiology*,  etiology*
India / epidemiology
Patient Compliance
Patient Education as Topic
Risk Assessment
Risk Factors
Sensitivity and Specificity
Treatment Refusal / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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