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result sql = INTRODUCTION : Bridging the primary and secondary sector, health-care centres aim to reduce morbidity and prevent further hospitalization in patients with chronic heart diseases. The aim of this study was to describe the quality of drug treatment in patients with chronic heart diseases in two Copenhagen health-care centres.
MATERIAL AND METHODS : Over a period of three months, 28 patients with heart failure (HF) or ischaemic heart disease (IHD) were included. The participants were interviewed and clinically examined.
RESULTS : The patients received an average of nine drugs, and only about one third were clinically well-treated. Among IHD patients, 74% received beta blockers and 64% angiotensin converting enzyme-inhibitors (ACE-I) as indicated. All received statins and 92% acetylsalicylic acid. Among HF patients, 67% received ACE-I, 87% beta blockers and 77% diuretics as indicated. Overall, 10%, 31% and 40% of the HF patients received smaller than recommended doses of ACE-I, beta blockers, and diuretics, respectively. In 68% of the patients, 35 potential drug interactions were identified, none of which were deemed potentially harmful.
CONCLUSION : This small descriptive study indicates that patients in health-care centres might be undertreated and receive drug therapy only partly in accordance with the guidelines. However, since we had no access to medical charts, any reasons for not treating patients with a certain drug or selecting a lower than recommended dose could not be evaluated. Nevertheless, patients may benefit from closer involvement of clinicians or GPs in the multidisciplinary teams of the health-care centres.
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char = r;code = 114
char = e;code = 101
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char = .;code = 46
result sql = Assessment of drug treatment quality in two Danish health-care centres.
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char = R;code = 82
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char = z;code = 122
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char = i;code = 105
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char = t;code = 116
char = s;code = 115
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char = w;code = 119
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char = t;code = 116
char = h;code = 104
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char = h;code = 104
char = r;code = 114
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char = s;code = 115
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char = e;code = 101
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char = e;code = 101
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char = c;code = 99
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char = <;code = 60
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char = r;code = 114
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char = <;code = 60
char = b;code = 98
char = >;code = 62
char = M;code = 77
char = A;code = 65
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char = E;code = 69
char = R;code = 82
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char = A;code = 65
char = L;code = 76
char = ;code = 32
char = A;code = 65
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char = H;code = 72
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char = h;code = 104
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char = h;code = 104
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char = a;code = 97
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char = H;code = 72
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char = r;code = 114
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char = C;code = 67
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char = d;code = 100
char = ;code = 32
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char = c;code = 99
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char = n;code = 110
char = c;code = 99
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char = ;code = 32
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char = t;code = 116
char = h;code = 104
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char = t;code = 116
char = h;code = 104
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char = g;code = 103
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char = i;code = 105
char = d;code = 100
char = e;code = 101
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char = i;code = 105
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char = i;code = 105
char = n;code = 110
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char = e;code = 101
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char = o;code = 111
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char = c;code = 99
char = c;code = 99
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char = s;code = 115
char = s;code = 115
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char = t;code = 116
char = o;code = 111
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char = m;code = 109
char = e;code = 101
char = d;code = 100
char = i;code = 105
char = c;code = 99
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char = l;code = 108
char = ;code = 32
char = c;code = 99
char = h;code = 104
char = a;code = 97
char = r;code = 114
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char = s;code = 115
char = ,;code = 44
char = ;code = 32
char = a;code = 97
char = n;code = 110
char = y;code = 121
char = ;code = 32
char = r;code = 114
char = e;code = 101
char = a;code = 97
char = s;code = 115
char = o;code = 111
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char = s;code = 115
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = r;code = 114
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char = n;code = 110
char = o;code = 111
char = t;code = 116
char = ;code = 32
char = t;code = 116
char = r;code = 114
char = e;code = 101
char = a;code = 97
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char = i;code = 105
char = n;code = 110
char = g;code = 103
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char = p;code = 112
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = i;code = 105
char = t;code = 116
char = h;code = 104
char = ;code = 32
char = a;code = 97
char = ;code = 32
char = c;code = 99
char = e;code = 101
char = r;code = 114
char = t;code = 116
char = a;code = 97
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = d;code = 100
char = r;code = 114
char = u;code = 117
char = g;code = 103
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = l;code = 108
char = e;code = 101
char = c;code = 99
char = t;code = 116
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = a;code = 97
char = ;code = 32
char = l;code = 108
char = o;code = 111
char = w;code = 119
char = e;code = 101
char = r;code = 114
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = a;code = 97
char = n;code = 110
char = ;code = 32
char = r;code = 114
char = e;code = 101
char = c;code = 99
char = o;code = 111
char = m;code = 109
char = m;code = 109
char = e;code = 101
char = n;code = 110
char = d;code = 100
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = d;code = 100
char = o;code = 111
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = c;code = 99
char = o;code = 111
char = u;code = 117
char = l;code = 108
char = d;code = 100
char = ;code = 32
char = n;code = 110
char = o;code = 111
char = t;code = 116
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = ;code = 32
char = e;code = 101
char = v;code = 118
char = a;code = 97
char = l;code = 108
char = u;code = 117
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = d;code = 100
char = .;code = 46
char = ;code = 32
char = N;code = 78
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = r;code = 114
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = l;code = 108
char = e;code = 101
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char = ;code = 32
char = p;code = 112
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = m;code = 109
char = a;code = 97
char = y;code = 121
char = ;code = 32
char = b;code = 98
char = e;code = 101
char = n;code = 110
char = e;code = 101
char = f;code = 102
char = i;code = 105
char = t;code = 116
char = ;code = 32
char = f;code = 102
char = r;code = 114
char = o;code = 111
char = m;code = 109
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char = l;code = 108
char = o;code = 111
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char = e;code = 101
char = r;code = 114
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char = i;code = 105
char = n;code = 110
char = v;code = 118
char = o;code = 111
char = l;code = 108
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char = e;code = 101
char = m;code = 109
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = c;code = 99
char = l;code = 108
char = i;code = 105
char = n;code = 110
char = i;code = 105
char = c;code = 99
char = i;code = 105
char = a;code = 97
char = n;code = 110
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = G;code = 71
char = P;code = 80
char = s;code = 115
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = m;code = 109
char = u;code = 117
char = l;code = 108
char = t;code = 116
char = i;code = 105
char = d;code = 100
char = i;code = 105
char = s;code = 115
char = c;code = 99
char = i;code = 105
char = p;code = 112
char = l;code = 108
char = i;code = 105
char = n;code = 110
char = a;code = 97
char = r;code = 114
char = y;code = 121
char = ;code = 32
char = t;code = 116
char = e;code = 101
char = a;code = 97
char = m;code = 109
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = h;code = 104
char = e;code = 101
char = a;code = 97
char = l;code = 108
char = t;code = 116
char = h;code = 104
char = -;code = 45
char = c;code = 99
char = a;code = 97
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = c;code = 99
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char = n;code = 110
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char = r;code = 114
char = e;code = 101
char = s;code = 115
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result sql = INTRODUCTION : Bridging the primary and secondary sector, health-care centres aim to reduce morbidity and prevent further hospitalization in patients with chronic heart diseases. The aim of this study was to describe the quality of drug treatment in patients with chronic heart diseases in two Copenhagen health-care centres.
MATERIAL AND METHODS : Over a period of three months, 28 patients with heart failure (HF) or ischaemic heart disease (IHD) were included. The participants were interviewed and clinically examined.
RESULTS : The patients received an average of nine drugs, and only about one third were clinically well-treated. Among IHD patients, 74% received beta blockers and 64% angiotensin converting enzyme-inhibitors (ACE-I) as indicated. All received statins and 92% acetylsalicylic acid. Among HF patients, 67% received ACE-I, 87% beta blockers and 77% diuretics as indicated. Overall, 10%, 31% and 40% of the HF patients received smaller than recommended doses of ACE-I, beta blockers, and diuretics, respectively. In 68% of the patients, 35 potential drug interactions were identified, none of which were deemed potentially harmful.
CONCLUSION : This small descriptive study indicates that patients in health-care centres might be undertreated and receive drug therapy only partly in accordance with the guidelines. However, since we had no access to medical charts, any reasons for not treating patients with a certain drug or selecting a lower than recommended dose could not be evaluated. Nevertheless, patients may benefit from closer involvement of clinicians or GPs in the multidisciplinary teams of the health-care centres.
Publication: Dan Med Bull 2011 Jan ;58(1)::A4218.
Publication Date: 2011 Jan
Study Author(s): Edfors, Kajsa;Andersen, Stig Ejdrup;
Institution: Department of Surgical Gastroenterology, Herlev Hospital.
Shortcut link to this study:
Publication Date: 2011 Jan
Study Author(s): Edfors, Kajsa;Andersen, Stig Ejdrup;
Institution: Department of Surgical Gastroenterology, Herlev Hospital.
Shortcut link to this study:
INTRODUCTION : Bridging the primary and secondary sector, health-care centres aim to reduce morbidity and prevent further hospitalization in patients with chronic heart diseases. The aim of this study was to describe the quality of drug treatment in patients with chronic heart diseases in two Copenhagen health-care centres.
MATERIAL AND METHODS : Over a period of three months, 28 patients with heart failure (HF) or ischaemic heart disease (IHD) were included. The participants were interviewed and clinically examined.
RESULTS : The patients received an average of nine drugs, and only about one third were clinically well-treated. Among IHD patients, 74% received beta blockers and 64% angiotensin converting enzyme-inhibitors (ACE-I) as indicated. All received statins and 92% acetylsalicylic acid. Among HF patients, 67% received ACE-I, 87% beta blockers and 77% diuretics as indicated. Overall, 10%, 31% and 40% of the HF patients received smaller than recommended doses of ACE-I, beta blockers, and diuretics, respectively. In 68% of the patients, 35 potential drug interactions were identified, none of which were deemed potentially harmful.
CONCLUSION : This small descriptive study indicates that patients in health-care centres might be undertreated and receive drug therapy only partly in accordance with the guidelines. However, since we had no access to medical charts, any reasons for not treating patients with a certain drug or selecting a lower than recommended dose could not be evaluated. Nevertheless, patients may benefit from closer involvement of clinicians or GPs in the multidisciplinary teams of the health-care centres.
MATERIAL AND METHODS : Over a period of three months, 28 patients with heart failure (HF) or ischaemic heart disease (IHD) were included. The participants were interviewed and clinically examined.
RESULTS : The patients received an average of nine drugs, and only about one third were clinically well-treated. Among IHD patients, 74% received beta blockers and 64% angiotensin converting enzyme-inhibitors (ACE-I) as indicated. All received statins and 92% acetylsalicylic acid. Among HF patients, 67% received ACE-I, 87% beta blockers and 77% diuretics as indicated. Overall, 10%, 31% and 40% of the HF patients received smaller than recommended doses of ACE-I, beta blockers, and diuretics, respectively. In 68% of the patients, 35 potential drug interactions were identified, none of which were deemed potentially harmful.
CONCLUSION : This small descriptive study indicates that patients in health-care centres might be undertreated and receive drug therapy only partly in accordance with the guidelines. However, since we had no access to medical charts, any reasons for not treating patients with a certain drug or selecting a lower than recommended dose could not be evaluated. Nevertheless, patients may benefit from closer involvement of clinicians or GPs in the multidisciplinary teams of the health-care centres.
PMID: 21205564
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