Management of heart failure: an Italian national survey on fellows/specialists in geriatrics
- PDF / 532,750 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 9 Downloads / 176 Views
ORIGINAL ARTICLE
Management of heart failure: an Italian national survey on fellows/ specialists in geriatrics Diana Lelli1 · Claudio Pedone1 · Dario Leosco2 · Graziano Onder3 · Raffaele Antonelli Incalzi1 · for the Società Italiana di Gerontologia e Geriatria Received: 12 March 2020 / Accepted: 25 April 2020 © Springer Nature Switzerland AG 2020
Abstract Background Heart failure (HF) is often managed by geriatricians. Few data are available on their knowledge and attitudes about this condition. Aims To compare perceptions and knowledge on HF of specialists/fellows in geriatrics working in Italy. Methods This nation-wide survey carried out by the Italian Society of Gerontology and Geriatrics in May–June 2019 enrolled 283 specialists/fellows in geriatrics in Italy. Results were stratified by qualification (specialist/fellow) and performance (lower/ higher quartile of correct answers). Results About half (55.5%) of the participants worked in acute care wards, 190 were residents, and 93 specialists. The overall proportion of correct answers was 70.8%, with no differences between specialists and fellows. There was a poor knowledge, with no differences between groups, about the target doses of ACE-inhibitors (36% of correct answers), the pharmacological treatment of HF with preserved ejection fraction (HFpEF) (37% of correct answers), and the inotropes indicated in acute HF (35% of correct answers). Compared to specialists, fellows performed better on indication (88% vs 76%, P = 0.019) and mechanism of action (93% vs 84%, P = 0.023) of sacubitril/valsartan, and on therapeutic indications of patients with atrial fibrillation (92% vs 75%, P
Data Loading...
