Clarke K W, Gray D, Hampton J R
University Hospital, Nottingham.
Br Heart J. 1994 Jun;71(6):584-7. doi: 10.1136/hrt.71.6.584.
To determine the referral rates to hospital and level of investigation of patients with heart failure, and to assess whether they are receiving optimum management.
A retrospective survey.
Nottingham Health District.
505 patients receiving loop diuretic treatment prescribed by their general practitioner.
Referral to hospital as an inpatient or outpatient for assessment of assumed cardiac failure; investigations--electrocardiography, chest radiography, and echocardiography; treatment with angiotensin converting enzyme inhibitors.
Only 56% of patients prescribed loop diuretics fulfilled the diagnostic criteria for heart failure. Of these, 74% had been referred to hospital, of whom 80% had had an electrocardiograph, 75% a chest radiograph, but only 31% an echocardiogram. Only 17% of patients with heart failure were being treated with angiotensin converting enzyme inhibitors in conjunction with loop diuretics.
Patients with heart failure in the Nottingham Health District are not being adequately investigated or receiving the optimum treatment.
确定心力衰竭患者的住院转诊率及检查水平，并评估他们是否接受了最佳治疗。
一项回顾性调查。
诺丁汉健康区。
505名接受全科医生开具的襻利尿剂治疗的患者。
因疑似心力衰竭作为住院患者或门诊患者转诊至医院；检查——心电图、胸部X线摄影和超声心动图；使用血管紧张素转换酶抑制剂治疗。
仅56%开具襻利尿剂的患者符合心力衰竭的诊断标准。其中，74%已转诊至医院，这些患者中80%进行了心电图检查，75%进行了胸部X线摄影，但只有31%进行了超声心动图检查。只有17%的心力衰竭患者在使用襻利尿剂的同时接受血管紧张素转换酶抑制剂治疗。
诺丁汉健康区的心力衰竭患者未得到充分检查，也未接受最佳治疗。
