Prevalence and outcome of Middle-eastern Arab and South Asian patients hospitalized with heart failure: insight from a 20-year registry in a Middle-eastern country (1991–2010)

Suwaidi, Jassim Al; Asaad, Nidal; Al‐Qahtani, Awad; Al-Mulla, Abdul Wahid; Singh, Rajvir; Albinali, Hajar

doi:10.3109/17482941.2012.655298

Cited by 17 publications

(23 citation statements)

References 45 publications

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“…It will also be interesting to know the outcomes among AHF patients from this region as we presume it to be different in view of younger age of this cohort from this region as noted from few regional studies. [2021] This registry also gives a unique opportunity to study the effect of Khat (cardio toxic amphetamine) on HF. Finally, this registry will identify targets for improving quality of care, reducing morbidity and mortality, and lowering the cost of managing patients with HF.…”

Section: Discussionmentioning

confidence: 99%

“…[2021] To date, there have been no large prospective multinational studies of HF in the Middle East. To this purpose, researchers in 7 countries from the Gulf Middle East, namely, Oman, Saudi Arabia, United Arab Emirates (UAE), Qatar, Bahrain, Yemen and Kuwait, under the patronage of the Gulf Heart Association, initiated a multinational multicentre prospective observational AHF survey based on cases admitted to various hospitals in these countries.…”

Section: Introductionmentioning

confidence: 99%

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Rationale, design, methodology and hospital characteristics of the first gulf acute heart failure registry (gulf care)

et al. 2014

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Background:There is paucity of data on heart failure (HF) in the Gulf Middle East. The present paper describes the rationale, design, methodology and hospital characteristics of the first Gulf acute heart failure registry (Gulf CARE).Materials and Methods:Gulf CARE is a prospective, multicenter, multinational registry of patients >18 year of age admitted with diagnosis of acute HF (AHF). The data collected included demographics, clinical characteristics, etiology, precipitating factors, management and outcomes of patients admitted with AHF. In addition, data about hospital readmission rates, procedures and mortality at 3 months and 1-year follow-up were recorded. Hospital characteristics and care provider details were collected. Data were entered in a dedicated website using an electronic case record form.Results:A total of 5005 consecutive patients were enrolled from February 14, 2012 to November 13, 2012. Forty-seven hospitals in 7 Gulf States (Oman, Saudi Arabia, Yemen, Kuwait, United Gulf Emirates, Qatar and Bahrain) participated in the project. The majority of hospitals were community hospitals (46%; 22/47) followed by non-University teaching (32%; 15/47 and University hospitals (17%). Most of the hospitals had intensive or coronary care unit facilities (93%; 44/47) with 59% (28/47) having catheterization laboratory facilities. However, only 29% (14/47) had a dedicated HF clinic facility. Most patients (71%) were cared for by a cardiologist.Conclusions:Gulf CARE is the first prospective registry of AHF in the Middle East, intending to provide a unique insight into the demographics, etiology, management and outcomes of AHF in the Middle East. HF management in the Middle East is predominantly provided by cardiologists. The data obtained from this registry will help the local clinicians to identify the deficiencies in HF management as well as provide a platform to implement evidence based preventive and treatment strategies to reduce the burden of HF in this region.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rationale, design, methodology and hospital characteristics of the first gulf acute heart failure registry (gulf care)

et al. 2014

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“…Use of adjunct therapy during hospitalization was recorded for every patient. Cardiovascular risk factors were defined previously [20]–[21]. The presence of diabetes mellitus (DM) was determined by the previous or current medical record of the patient reporting the diagnosis of DM that had been treated with oral medications or insulin.…”

Section: Methodsmentioning

confidence: 99%

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

et al. 2013

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BackgroundCoronary artery disease (CAD) is the leading cause of mortality worldwide. The present study evaluated the impact of gender in patients hospitalized with acute coronary syndromes (ACS) over a 20-year period in Qatar.MethodsData were collected retrospectively from the registry of the department of cardiology for all patients admitted with ACS during the study period (1991–2010) and were analyzed according to gender.ResultsAmong 16,736 patients who were admitted with ACS, 14262 (85%) were men and 2474 (15%) were women. Cardiovascular risk factors were more prevalent among women in comparison to men. On admission, women presented mainly with non-ST-elevation ACS and were more likely to be undertreated with β-blockers (BB), antiplatelet agents and reperfusion therapy in comparison to men. However, from 1999 through 2010, the use of aspirin, angiotensin-converting enzyme inhibitors and BB increased from 66% to 79%, 27% to 41% and 17% to 49%, respectively in women. In the same period, relative risk reduction for mortality was 64% in women and 51% in men. Across the 20-year period, the mortality rate decreased from 27% to 7% among the Middle Eastern Arab women. Multivariate logistic regression analysis showed that female gender was independent predictor of in-hospital mortality (odd ratio 1.51, 95% CI 1.27–1.79).ConclusionsWomen presenting with ACS are high-risk population and their in-hospital mortality remains higher for all age groups in comparison to men. Although, substantial improvement in the hospital outcome has been observed, guidelines adherence and improvement in the hospital care have not yet been optimized.

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“…Cardiology Inpatient Data forms were completed by physicians at the time of patient discharge from the hospital according to predefined criteria. These records have been coded and registered at the cardiology department since January 1991 [7,8]. Data registered into a computer by a data entry operator were randomly checked by physicians at the cardiology department.…”

Section: Methodsmentioning

confidence: 99%

Effect of Age on Clinical Presentation and Outcome of Patients Hospitalized with Acute Coronary Syndrome: A 20-Year Registry in a Middle Eastern Country

Ahmed

El‐Menyar²,

Singh³

et al. 2012

TOCMJ

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Introduction:Despite the fact that the elderly constitute an increasingly important group of patients with acute coronary syndrome (ACS), they are often excluded from clinical trials and are underrepresented in clinical registries.Aims:To evaluate the impact of age in patients hospitalized with ACS.Methods:Data collected for all patients presenting with ACS (n=16,744) who were admitted in Qatar during the period (1991-2010) and were analyzed according to age into 3 groups (≤50 years [41.4%], 51-70 years [48.7%] and >70 years [9.8%]).Results:Older patients were more likely to be women and have hypertension, diabetes mellitus, and renal failure, while younger patients were more likely to be smokers. Non-ST-elevation myocardial infarction and heart failure were more prevalent in older patients. Older age was associated with undertreatment with evidence-based therapies and had higher mortality rate. Age was independent predictor for mortality. Over the study period, the relative reduction in mortality rates was higher in the younger compared with the older patients (61, 45.9 and 35.5%).Conclusions:Despite being a higher-risk group, older patients were undertreated with evidence based therapy and had worse short-term outcome. Guidelines adherence and improvement in hospital care for elderly patients with ACS may potentially reduce morbidity and mortality.

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Prevalence and outcome of Middle-eastern Arab and South Asian patients hospitalized with heart failure: insight from a 20-year registry in a Middle-eastern country (1991–2010)

Abstract: HF patients in the Middle East present at relatively younger age regardless of ethnicity. In-hospital mortality and stroke rates decreased significantly over the 20-years.

Cited by 17 publications

References 45 publications

Rationale, design, methodology and hospital characteristics of the first gulf acute heart failure registry (gulf care)

Rationale, design, methodology and hospital characteristics of the first gulf acute heart failure registry (gulf care)

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

Effect of Age on Clinical Presentation and Outcome of Patients Hospitalized with Acute Coronary Syndrome: A 20-Year Registry in a Middle Eastern Country

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