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Diagnostic tests, drug prescriptions, and follow-up patterns after incident heart failure: A cohort study of 93,000 UK patients

PLoS Medicine Jun 08, 2019

Conrad N, et al. - Through a retrospective population-based cohort study carried out with over 93,000 UK patients, researchers sought to investigate how trajectories of care varied over time for patients after incident heart failure by age, sex, and socioeconomic status. Diagnosis care setting, post-hospitalization follow-up in primary care, diagnostic investigations, prescription of essential drugs, and drug treatment dose were the five examined indicators. Patients were more likely to be diagnosed in hospital rather than by their general practitioner, received insufficient follow-up after hospitalization, and insufficient dosages prescribed to patients. Shortcomings in management disproportionally impacted women and older people with heart failure, affecting screening, care continuity, and medication titration. Identification of the gaps in long-term care needs is insufficient.

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