GLOBAL SUMMIT ON CARDIOLOGY AND CARDIO CARE
NOVEMBER 30- DECEMBER 01, 2023 | DUBAI, UAE
Theme: Research Trends and Advances in Cardiology
Syed Raza
Leighton Hospital, United kIngdomTitle: Improving Awareness and Adherence to Medications amongst Heart Failure Patients is the Most Cost Effective Way of Reducing Healthcare Costs
Abstract
Background: Heart Failure (HF) is a common medical condition
and an important public health issue. This
carries with it high mortality and frequent hospitalization. There is generally
high re-admission rate and patients of heart failure tend to have a duration of
stay in the hospital. Heart failure management is costly and puts a burden on
healthcare budget. Lack of awareness of different aspects of management of
heart failure leads to poor adherence
to treatment which further
adds to the
healthcare cost.
Despite a number of evidence based medications
being available, the utilization are not
always satisfactory.
Objective: We
conducted a study
to explore patients’ understanding
and adherence to
Heart Failure (HF) medications
at a general
hospital setting.
Materials
and Methods:We prospectively studied from January 2016
till December 2017, 196 patients
(outpatients plus inpatients )
of HF at our
hospital . The
information was gathered
by oral interview as
well as using questionnaire .
Results: There
were 110 male and 86 female patients with average age of 54 years. The majority of patients (78% ) were in NYHA
class II and
III and 72% of patients were from Outpatient visits.
15%
of patients stopped or reduced
the dose of diuretics on their
own as they
thought they didn’t need
them anymore or they were thought to interfere in their life style. 36 % patients
believed that ACE Inhibitors or ARBs were
for blood pressure and therefore
they had either stopped or were intending to stop. 43 %
patients were not keen on
taking beta-blocker because
of fear of various side
effects and 12% of
them already stopped
the beta-blocker on their own.
56% of patients did not like
the idea of increasing the dose
of ACE Inhibitor , ARBs
or beta-blocker to the maximum,
mainly out of fear of side effects. In
addition, 54% of the patients
reported that they were not
informed by the prescribing physician regarding the
purpose and benefits of up
titrating the dose of these
medication. Patients
were ignorant of the
role of different HF
medications such as Aldosterone antagonists
(86% ), ACE Inhibitor or ARBs
(76% ) , Beta blocker ( 70%). None of the patients who were on Ivabradine knew
the role of the drug
in HF but at the same time were not informed of any known side effects.
Conclusion: Inadequate
understanding and poor adherence to medications is a common problem among heart
failure (HF) patients. as shown in our study.
Inadequate adherence leads to increased HF
de-compensation, reduced exercise tolerance, poor quality of life and higher
risk for hospital admission and death. They all lead to increase in heart failure treatment and management costs.
Biography
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