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Аnalysis of the reasons for hospitalization of patients with acute decompensated heart failure

https://doi.org/10.24884/2072-6716-2021-22-2-25-31

Abstract

The analysis of 75 cases of refusal to hospitalize patients with acute decompensated heart failure was carried out. The overwhelming majority turned out to be elderly women with a high incidence of cognitive impairment. Among the reasons for refusal, 47% indicated an improvement in their condition after receiving assistance from an ambulance team. Such a decision is often based on an apathetic type of attitude towards the disease. At least one in four patients who refuse hospitalization is re-hospitalized or dies within the next 30 days.

About the Authors

A. M. Ilyina
Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky; Krasnoyarsk ambulance station
Russian Federation

Anastasiya M. Ilyina



K. A. Dunay
Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky
Russian Federation

Kira A. Dunay



V. R. Merinov
Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky; Krasnoyarsk ambulance station
Russian Federation

Vladislav R. Merinov



O A. Shtegman
Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky
Russian Federation

Oleg A. Shtegman



D. Yu. Osipov
Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky
Russian Federation

Daniil Yu. Osipov



А. S. Zabudskiy
Krasnoyarsk ambulance station
Russian Federation

Aleksey S. Zabudskiy



References

1. Mareev V. Yu., Fomin I. V., Ageev F. T., Begrambekova Yu.L., Vasyuk Yu.A., Garganeeva A. A., Gendlin G. E., Glezer M. G., Gauthier S. V.V., Dovzhenko T. V., Kobalava Zh.D., Koziolova N. A., Koroteev A. V., Mareev Yu.V., Ovchinnikov A. G., Perepech N. B., Tarlovskaya E. I. ., Chesnikova A. I., Shevchenko A. O., Arutyunov G. P., Belenkov Yu.N., Galyavich A. S., Gilyarevsky S. R., Drapkina O. M., Duplyakov D. V., Lopatin Yu.M., Sitnikova M. Yu., Skibitsky V. V., Shlyakhto E. V. Clinical guidelines OSSN — R KO — R NMOT. Heart failure: chronic (CHF) and acute decompensated (ADF). Diagnostics, prevention and treatment. Cardiology, 2018, Vol. 58, No 6S, рр. 8–158 (In Russ.).

2. Kanorsky S. G., Vasyuk Yu.A., Gridasova R. A., Kastanayan A. A., Pagaeva F. P., Sadovoy V. I., Sidorov R. V., Terent’ev V.P., Tuaeva I B., Frolov D. V., Khaisheva L. A., Khripun A. V., Chesnikova A. I. Treatment of patients with stable manifestations of atherosclerosis: new opportunities (Conclusion of the expert council dated November 16, 2018, Rostov-on-Don). Cardiology, 2019, Vol. 59, No 9, pp. 97–100 (In Russ.).

3. Federal Law of the Russian Federation of November 21, 2011 No 323-FZ “On the Fundamentals of Health Protection of Citizens in the Russian Federation” (In Russ.).

4. Rector Th., Cohn J. Assessment of patient outcome with the Minnesota Living with Heart Failure questionnaire: Reliability and validity during a randomized, double-mind, placebo-controlled trial of pimobendan // Am. Heart J. 1992. Vol. 124, No 4. P. 1017–1024.

5. Charlson M.E., Pompei P., Ales K. L. et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation // J. Chron. Dis. 1987. Vol. 40. Р. 373–383.

6. Morisky D.E., Green L. W., Levine D. M. Concurrent and predictive validity of a self-reported measure of medication adherence // Med. Care. 1986. Vol. 24, No 1. Р. 67–74.

7. Wasserman L. I., Iovlev B. V., Karpova E. B., Vuks A. Ya. Methodology for psychological diagnostics of types of attitudes towards the disease: guidelines. Leningrad, 1987, 28 p. (In Russ.).

8. Morovic S., Budincevic H., Govori V., Demarin V. Possibilities of Dementia Prevention It is Never Too Early to Start // J. Med. Life. 2019. Vol. 12, No 4. Р. 332–337. doi: 10.25122/jml-2019–0088. PMID: 32025250; PMCID: PMC6993301.

9. Pochinka I. G., Strongin L. G., Botova S. N., Razumovsky A. V., Baranova A. A., Dvornikova M. I., Yurkova K. N., Belenkov Yu. N. The influence of type 2 diabetes mellitus on the 5-year survival rate of patients hospitalized with acute decompensated heart failure. Cardiology, 2017, Vol. 57, No 9, рр. 14–19 (In Russ.).

10. Abstracts of the Anniversary National Congress with international participation “Heart Failure 2019”. Cardiology, 2020, Vol. 60, No 1, рр. 109–164 (In Russ.).

11. Lahousse L., Loth D. W., Joos G. F. et al. Statins, systemic inflammation and risk of death in COPD: the Rotterdam study // Pulm. Pharmacol. Ther. 2013. Vol. 26, No 2. P. 212–217.

12. Surmach M. Yu. Health-r elated quality of life as a subject of study in the sociology of medicine. Sociology, 2011, No 2, рр. 100–104 (In Russ.).

13. Ponomarev D. S. The modern view on the problem of the quality of life and its assessment in patients with chronic heart failure. Bulletin of the Tambov University. Series Natural and technical sciences. Tambov, 2017, Vol. 22, Issue 2, рр. 357–361. doi: 10.20310/1810–0198–2017–22–2–357–361 (In Russ.).

14. John K.J., Turaka V. P., Muruga Bh.K., Vignesh K. C., Jayaseelan L., Visalakshi J., Nadaraj A., Mathew A., Mariam F., Nellimala N. J., Joy A., Punitha J. V., Koshy M., Chandy G., Gunasekaran K., Sudarsanam T. D. Predictors of mortality, strategies to reduce readmission, and economic impact of acute decompensated heart failure: Results of the Vellore Heart Failure Registry // Indian Heart J. 2020. Vol. 72, No 1. Р. 20–26. doi: 10.1016/j.ihj.2020.03.005. Epub 2020. Mar. 24. PMID: 32423556; PMCID: PMC7231859.


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For citations:


Ilyina A.M., Dunay K.A., Merinov V.R., Shtegman O.A., Osipov D.Yu., Zabudskiy А.S. Аnalysis of the reasons for hospitalization of patients with acute decompensated heart failure. EMERGENCY MEDICAL CARE. 2021;22(2):25-31. (In Russ.) https://doi.org/10.24884/2072-6716-2021-22-2-25-31

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