Harikrishnan Sivadasanpillai, Bahl Ajay, Roy Ambuj, Mishra Animesh, Prajapati Jayesh, Nanjappa Manjunath Cholenahally, Sethi Rishi, Guha Santanu, Satheesh Santhosh, Chacko Manas, Ganapathi Sanjay, Jeemon Panniyamakal
Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, India.
Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Indian Heart J. 2019 Nov-Dec;71(6):488-491. doi: 10.1016/j.ihj.2019.12.005. Epub 2020 Jan 3.
Heart failure (HF) has emerged as a global public health problem that affects both low and high-income countries. The high HF burden and the need for resource-intensive treatments often lead to health system crisis in resource-poor settings. Data on prevailing practice patterns and long-term clinical outcomes of HF are scarce from the low and middle-income countries. Nationally representative HF data from India are not available.
The National Heart Failure Registry (NHFR) is a multicentric, hospital-based registry of HF patients from 53 centers across India. Consecutive patients admitted with the diagnosis of acute decompensated HF satisfying the European Society of Cardiology (ESC) 2016 criteria will be enrolled into the registry from January 2019 to December 2019. Each participating center is expected to contribute 200 patients into the registry (i.e., more than 10,000 HF patients from India). We are collecting demographics, clinical, laboratory, imaging, and other diagnostic data at baseline from all registered patients in the registry by using a structured document. Additionally, we are collecting the details of treatment practices and the usage of guideline-directed therapy from all participants. We intend to obtain the in-hospital, 3-months, 6-months and one-year outcome data on mortality, cause of death, and repeated hospitalization events.
In summary, NFHR will be the first nationally representative HF registry aimed at providing crucial information on prevailing etiology, distribution and current practices in the management of HF.
心力衰竭（HF）已成为一个影响低收入和高收入国家的全球公共卫生问题。高HF负担以及对资源密集型治疗的需求，往往导致资源匮乏地区的卫生系统危机。低收入和中等收入国家关于HF流行的实践模式和长期临床结果的数据稀缺。印度缺乏具有全国代表性的HF数据。
国家心力衰竭注册研究（NHFR）是一个基于医院的多中心注册研究，涵盖印度各地53个中心的HF患者。2019年1月至2019年12月，连续收治的符合欧洲心脏病学会（ESC）2016标准的急性失代偿性HF患者将被纳入该注册研究。每个参与中心预计向注册研究贡献200名患者（即来自印度的10000多名HF患者）。我们正在使用结构化文档，在基线时收集登记册中所有注册患者的人口统计学、临床、实验室、影像学和其他诊断数据。此外，我们正在收集所有参与者的治疗实践细节和指南指导治疗的使用情况。我们打算获取住院期间、3个月、6个月和1年的死亡率、死亡原因和再次住院事件的结局数据。
总之，NFHR将是首个具有全国代表性的HF注册研究，旨在提供有关HF流行病因、分布和当前管理实践的关键信息。
