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Heart failure across Asia: Same healthcare burden but differences in organization of care

Authors
 Eugenio B. Reyes  ;  Jong-Won Ha  ;  Isman Firdaus  ;  Azmee Mohd Ghazi  ;  Arintaya Phrommintikul  ;  David Sim  ;  Quynh Nga Vu  ;  Chung Wah Siu  ;  Wei-Hsian Yin  ;  Martin R. Cowie 
Citation
 International Journal of Cardiology, Vol.223 : 163-167, 2016 
Journal Title
 International Journal of Cardiology 
ISSN
 0167-5273 
Issue Date
2016
Abstract
A gap in the knowledge on the status of heart failure (HF) in Asia versus other regions led to the creation of a working group of Asian experts from 9 countries or regions (Hong Kong, Indonesia, Malaysia, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam). Each expert sought the best available data from local publications, registries, or clinical practice. The prevalence of HF in Asia was generally similar to global values (1% to 3%), but with some outliers. There were substantial variations in healthcare spending, and the average cost of HF hospitalization varied from 813 US$ in Indonesia to nearly 9000 US$ in South Korea. Comorbidities were frequent, particularly hypertension, diabetes mellitus, and dyslipidemia. Modifiable risk factors such as smoking were alarmingly common in some countries. Asian HF patients spent between 5 and 12.5days in hospital, and 3% to 15% were readmitted for HF by 30days. The pharmacological treatment of Asian patients generally followed international guidelines, including renin-angiotensin-aldosterone system inhibitors (61% to 90%), diuretics (76% to 99%), beta-blockers (32% to 78%), and digoxin (19% to 53%), with some room for improvement in terms of life-saving therapies. Our review supports implementation of a more comprehensive and organized approach to HF care in Asia.
Full Text
http://www.sciencedirect.com/science/article/pii/S0167527316316539?via%3Dihub
DOI
10.1016/j.ijcard.2016.07.256
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
하종원(Ha, Jong Won) ORCID logo https://orcid.org/0000-0002-8260-2958
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/153064
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