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中东和非洲地区心力衰竭患者支持方面的差距弥补专家建议。

Expert Recommendations to Bridge Gaps in Heart Failure Patient Support in the Middle East and Africa Region.

机构信息

Department of Cardiology, Sheikh Shakbout Medical City-Mayo Clinic, Abu Dhabi, United Arab Emirates.

Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Türkiye.

出版信息

Anatol J Cardiol. 2024 Jan;28(1):2-18. doi: 10.14744/AnatolJCardiol.2023.3517.

Abstract

Heart failure (HF) remains a serious health and socioeconomic problem in the Middle East and Africa (MEA). The age-standardized prevalence rate for HF in the MEA region is higher compared to countries in Eastern Europe, Latin America, and Southeast Asia. Also cardiovascular-related deaths remain high compared to their global counterparts. Moreover, in MEA, 66% of HF readmissions are elicited by potentially preventable factors, including delay in seeking medical attention, nonadherence to HF medication, suboptimal discharge planning, inadequate follow-up, and poor social support. Patient support in the form of activation, counseling, and caregiver education has been shown to improve outcomes in patients with HF. A multidisciplinary meeting with experts from different countries across the MEA region was convened to identify the current gaps and unmet needs for patient support for HF in the region. The panel provided insights into the real-world challenges in HF patient support and contributed strategic recommendations for optimizing HF care.

摘要

心力衰竭(HF)仍然是中东和非洲(MEA)地区一个严重的健康和社会经济问题。与东欧、拉丁美洲和东南亚国家相比,MEA 地区的 HF 标准化患病率更高。此外,与全球相比,心血管相关死亡人数仍然居高不下。此外,在 MEA,66%的 HF 再入院是由潜在可预防的因素引起的,包括就医延迟、不遵医嘱、出院计划不佳、随访不足和社会支持差。以患者激活、咨询和护理人员教育为形式的患者支持已被证明可以改善 HF 患者的预后。召集了来自 MEA 地区不同国家的多学科专家会议,以确定该地区 HF 患者支持方面当前的差距和未满足的需求。该小组深入了解 HF 患者支持方面的实际挑战,并为优化 HF 护理提供了战略建议。

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