I pazienti con scompenso cardiaco nelle unità di terapia intensiva cardiologica italiane: I dati dello studio BLITZ-3

Translated title of the contribution: Patients with heart failure in Italian cardiology intensive care unit: Data from the BLITZ-3 study

Alessandra Chinaglia, Gianni Casella, Giampaolo Scorcu, Matteo Cassin, Francesco Chiarella, Maria Rosa Conte, Giuseppe Fradella, Donata Lucci, Aldo P. Maggioni, Luigi Oltrona Visconti

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background. Only limited information about clinical characteristics, diagnostic procedures and therapeutic options is available in patients admitted to an intensive cardiac care unit (ICCU) for heart failure. The aim of this study was to evaluate causes of admission, clinical characteristics, diagnostic and therapeutic options, and outcome of patients admitted for heart failure in the ICCU network. Methods. The BLITZ-3 Registry prospectively included patients admitted by 332 Italian ICCUs. Data of the patients admitted with a principal diagnosis of heart failure are analyzed. Results. From April 7 to 20, 2008, 6986 consecutive patients with acute cardiac conditions were admitted to ICCUs; 966 (14%) out of 6986 patients were admitted for acute heart failure. Heart failure was the second cause of admission after acute coronary syndromes (52%). Mean age of patients admitted for heart failure was 73 years, 42% were female, and diabetes accounted for 32% of heart failure patients. Most patients were admitted to the emergency department (62%), and were discharged by the cardiology ward (65%). Median length of stay in the ICCU was 4 days, and during the stay in ICCU 5% of the patients with heart failure died. Advanced age and elevated creatinine values were associated with a higher risk of death. Echocardiography was performed in 79% of heart failure patients, coronary angiography in 10%, assisted ventilation in 15%, ultrafiltration in 3%, and right catheterization in 1%. Diuretics were administered in 93% of patients admitted for acute heart failure, intravenous nitrates in 41%, inotropes in 22%, beta-blockers in 42%, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers in 66%. Conclusions. In a nationwide survey, acute heart failure accounted for 14% of hospital admissions in ICCUs. Patients admitted for heart failure are usually old, with frequent comorbidities. Diagnostic and therapeutic procedures are rarely used, with the exception of echocardiography.

Original languageItalian
Pages (from-to)511-519
Number of pages9
JournalGiornale Italiano di Cardiologia
Volume13
Issue number7-8
DOIs
Publication statusPublished - Jul 2012

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Cardiology
Intensive Care Units
Heart Failure
Echocardiography
Angiotensin Receptor Antagonists
Ultrafiltration
Acute Coronary Syndrome
Coronary Angiography
Angiotensin-Converting Enzyme Inhibitors
Diuretics
Catheterization
Nitrates
Ventilation
Registries
Hospital Emergency Service
Comorbidity
Length of Stay
Creatinine
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

I pazienti con scompenso cardiaco nelle unità di terapia intensiva cardiologica italiane : I dati dello studio BLITZ-3. / Chinaglia, Alessandra; Casella, Gianni; Scorcu, Giampaolo; Cassin, Matteo; Chiarella, Francesco; Conte, Maria Rosa; Fradella, Giuseppe; Lucci, Donata; Maggioni, Aldo P.; Visconti, Luigi Oltrona.

In: Giornale Italiano di Cardiologia, Vol. 13, No. 7-8, 07.2012, p. 511-519.

Research output: Contribution to journalArticle

Chinaglia, A, Casella, G, Scorcu, G, Cassin, M, Chiarella, F, Conte, MR, Fradella, G, Lucci, D, Maggioni, AP & Visconti, LO 2012, 'I pazienti con scompenso cardiaco nelle unità di terapia intensiva cardiologica italiane: I dati dello studio BLITZ-3', Giornale Italiano di Cardiologia, vol. 13, no. 7-8, pp. 511-519. https://doi.org/10.1714/1114.12247
Chinaglia, Alessandra ; Casella, Gianni ; Scorcu, Giampaolo ; Cassin, Matteo ; Chiarella, Francesco ; Conte, Maria Rosa ; Fradella, Giuseppe ; Lucci, Donata ; Maggioni, Aldo P. ; Visconti, Luigi Oltrona. / I pazienti con scompenso cardiaco nelle unità di terapia intensiva cardiologica italiane : I dati dello studio BLITZ-3. In: Giornale Italiano di Cardiologia. 2012 ; Vol. 13, No. 7-8. pp. 511-519.
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abstract = "Background. Only limited information about clinical characteristics, diagnostic procedures and therapeutic options is available in patients admitted to an intensive cardiac care unit (ICCU) for heart failure. The aim of this study was to evaluate causes of admission, clinical characteristics, diagnostic and therapeutic options, and outcome of patients admitted for heart failure in the ICCU network. Methods. The BLITZ-3 Registry prospectively included patients admitted by 332 Italian ICCUs. Data of the patients admitted with a principal diagnosis of heart failure are analyzed. Results. From April 7 to 20, 2008, 6986 consecutive patients with acute cardiac conditions were admitted to ICCUs; 966 (14{\%}) out of 6986 patients were admitted for acute heart failure. Heart failure was the second cause of admission after acute coronary syndromes (52{\%}). Mean age of patients admitted for heart failure was 73 years, 42{\%} were female, and diabetes accounted for 32{\%} of heart failure patients. Most patients were admitted to the emergency department (62{\%}), and were discharged by the cardiology ward (65{\%}). Median length of stay in the ICCU was 4 days, and during the stay in ICCU 5{\%} of the patients with heart failure died. Advanced age and elevated creatinine values were associated with a higher risk of death. Echocardiography was performed in 79{\%} of heart failure patients, coronary angiography in 10{\%}, assisted ventilation in 15{\%}, ultrafiltration in 3{\%}, and right catheterization in 1{\%}. Diuretics were administered in 93{\%} of patients admitted for acute heart failure, intravenous nitrates in 41{\%}, inotropes in 22{\%}, beta-blockers in 42{\%}, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers in 66{\%}. Conclusions. In a nationwide survey, acute heart failure accounted for 14{\%} of hospital admissions in ICCUs. Patients admitted for heart failure are usually old, with frequent comorbidities. Diagnostic and therapeutic procedures are rarely used, with the exception of echocardiography.",
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AU - Casella, Gianni

AU - Scorcu, Giampaolo

AU - Cassin, Matteo

AU - Chiarella, Francesco

AU - Conte, Maria Rosa

AU - Fradella, Giuseppe

AU - Lucci, Donata

AU - Maggioni, Aldo P.

AU - Visconti, Luigi Oltrona

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N2 - Background. Only limited information about clinical characteristics, diagnostic procedures and therapeutic options is available in patients admitted to an intensive cardiac care unit (ICCU) for heart failure. The aim of this study was to evaluate causes of admission, clinical characteristics, diagnostic and therapeutic options, and outcome of patients admitted for heart failure in the ICCU network. Methods. The BLITZ-3 Registry prospectively included patients admitted by 332 Italian ICCUs. Data of the patients admitted with a principal diagnosis of heart failure are analyzed. Results. From April 7 to 20, 2008, 6986 consecutive patients with acute cardiac conditions were admitted to ICCUs; 966 (14%) out of 6986 patients were admitted for acute heart failure. Heart failure was the second cause of admission after acute coronary syndromes (52%). Mean age of patients admitted for heart failure was 73 years, 42% were female, and diabetes accounted for 32% of heart failure patients. Most patients were admitted to the emergency department (62%), and were discharged by the cardiology ward (65%). Median length of stay in the ICCU was 4 days, and during the stay in ICCU 5% of the patients with heart failure died. Advanced age and elevated creatinine values were associated with a higher risk of death. Echocardiography was performed in 79% of heart failure patients, coronary angiography in 10%, assisted ventilation in 15%, ultrafiltration in 3%, and right catheterization in 1%. Diuretics were administered in 93% of patients admitted for acute heart failure, intravenous nitrates in 41%, inotropes in 22%, beta-blockers in 42%, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers in 66%. Conclusions. In a nationwide survey, acute heart failure accounted for 14% of hospital admissions in ICCUs. Patients admitted for heart failure are usually old, with frequent comorbidities. Diagnostic and therapeutic procedures are rarely used, with the exception of echocardiography.

AB - Background. Only limited information about clinical characteristics, diagnostic procedures and therapeutic options is available in patients admitted to an intensive cardiac care unit (ICCU) for heart failure. The aim of this study was to evaluate causes of admission, clinical characteristics, diagnostic and therapeutic options, and outcome of patients admitted for heart failure in the ICCU network. Methods. The BLITZ-3 Registry prospectively included patients admitted by 332 Italian ICCUs. Data of the patients admitted with a principal diagnosis of heart failure are analyzed. Results. From April 7 to 20, 2008, 6986 consecutive patients with acute cardiac conditions were admitted to ICCUs; 966 (14%) out of 6986 patients were admitted for acute heart failure. Heart failure was the second cause of admission after acute coronary syndromes (52%). Mean age of patients admitted for heart failure was 73 years, 42% were female, and diabetes accounted for 32% of heart failure patients. Most patients were admitted to the emergency department (62%), and were discharged by the cardiology ward (65%). Median length of stay in the ICCU was 4 days, and during the stay in ICCU 5% of the patients with heart failure died. Advanced age and elevated creatinine values were associated with a higher risk of death. Echocardiography was performed in 79% of heart failure patients, coronary angiography in 10%, assisted ventilation in 15%, ultrafiltration in 3%, and right catheterization in 1%. Diuretics were administered in 93% of patients admitted for acute heart failure, intravenous nitrates in 41%, inotropes in 22%, beta-blockers in 42%, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers in 66%. Conclusions. In a nationwide survey, acute heart failure accounted for 14% of hospital admissions in ICCUs. Patients admitted for heart failure are usually old, with frequent comorbidities. Diagnostic and therapeutic procedures are rarely used, with the exception of echocardiography.

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KW - Hospital admission

KW - Pharmacological treatment

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