Management of heart failure: an Italian national survey on fellows/specialists in geriatrics.

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Abstrakt

Tytuł:: Management of heart failure: an Italian national survey on fellows/specialists in geriatrics.
Autorzy:: Lelli D; Area di Geriatria, Università Campus Bio-Medico di Roma, via Alvaro del Portillo 21, 00128, Rome, Italy. .
Pedone C; Area di Geriatria, Università Campus Bio-Medico di Roma, via Alvaro del Portillo 21, 00128, Rome, Italy.
Leosco D; Dipartimento di Scienze Mediche Traslazionali, Università Degli Studi di Napoli 'Federico II', Via Pansini 5, 80131, Naples, Italy.
Onder G; Dipartimento di Malattie Cardiovascolari, endocrino-metaboliche ed invecchiamento, Istituto Superiore di Sanità, viale Regina Elena 299, 00161, Rome, Italy.
Antonelli Incalzi R; Area di Geriatria, Università Campus Bio-Medico di Roma, via Alvaro del Portillo 21, 00128, Rome, Italy.
Corporate Authors:: Società Italiana di Gerontologia e Geriatria
Źródło:: Aging clinical and experimental research [Aging Clin Exp Res] 2020 Oct; Vol. 32 (10), pp. 2049-2055. Date of Electronic Publication: 2020 May 07.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: <2013-> : Berlin : Springer
Original Publication: Milano, Italy : Editrice Kurtis, c2002-
MeSH Terms:: Geriatrics*
Heart Failure*/diagnosis
Heart Failure*/drug therapy
Aged ; Humans ; Italy ; Specialization ; Stroke Volume ; Surveys and Questionnaires
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Contributed Indexing:: Keywords: Aged, 65 years or over; Care survey; Health; Heart failure
Entry Date(s):: Date Created: 20200509 Date Completed: 20201125 Latest Revision: 20231208
Update Code:: 20240105
DOI:: 10.1007/s40520-020-01577-1
PMID:: 32383033
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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 < 0.001).
Conclusions: Globally, there was a good knowledge of the latest guidelines on the diagnosis and management of HF. However, for some important topics, such as HFpEF, that is the most common HF manifestation in older adults, the observed performance was relatively poor, indicating the need for focused educational campaigns.

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