A Multi-Site Thailand Heart Failure Snapshot Study

Background: The prevalence of heart failure (HF) is increasing in many low-income and middle-income countries, but the limited availability of data on patient profiles and clinical outcomes, particularly at a community level, challenges health service planning. Methods: The Thai HF Snapshot Study wa...

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Main Author: Tankumpuan T.
Other Authors: Mahidol University
Format: Article
Published: 2023
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/86763
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spelling th-mahidol.867632023-06-19T01:08:52Z A Multi-Site Thailand Heart Failure Snapshot Study Tankumpuan T. Mahidol University Medicine Background: The prevalence of heart failure (HF) is increasing in many low-income and middle-income countries, but the limited availability of data on patient profiles and clinical outcomes, particularly at a community level, challenges health service planning. Methods: The Thai HF Snapshot Study was a multi-site, observational study conducted in Thailand between June 2017 to June 2019. It aimed to document demographic, clinical and sociodemographic characteristics, and to compare clinical outcomes by the level of the hospital. Results: A total of 512 participants were recruited across Thailand: mean age was 64.9±15.3 years and 286 were female (55.9%). The most frequently identified admitting diagnosis was ischaemic heart disease (45.1%). Most patients (70.3%) were classified as New York Heart Association class II at discharge. Patients in university hospitals were frailer (3.2 vs 2.9; p=0.015), had more depressive symptoms (8.1 vs 5.7; p<0.001), and had lower functional status (66.2 vs 73.3; p<0.001) than those in tertiary care. Conclusion: Although HF patients admitted to university hospitals had access to advanced technology and health care specialists, clinical outcomes likely affected patient acuity. Interventions are urgently needed to ensure improved HF management considering the social determinants of health in Thailand. 2023-06-18T18:08:52Z 2023-06-18T18:08:52Z 2022-01-01 Article Heart Lung and Circulation Vol.31 No.1 (2022) , 85-94 10.1016/j.hlc.2021.07.010 14442892 14439506 34364801 2-s2.0-85111914249 https://repository.li.mahidol.ac.th/handle/123456789/86763 SCOPUS
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Tankumpuan T.
A Multi-Site Thailand Heart Failure Snapshot Study
description Background: The prevalence of heart failure (HF) is increasing in many low-income and middle-income countries, but the limited availability of data on patient profiles and clinical outcomes, particularly at a community level, challenges health service planning. Methods: The Thai HF Snapshot Study was a multi-site, observational study conducted in Thailand between June 2017 to June 2019. It aimed to document demographic, clinical and sociodemographic characteristics, and to compare clinical outcomes by the level of the hospital. Results: A total of 512 participants were recruited across Thailand: mean age was 64.9±15.3 years and 286 were female (55.9%). The most frequently identified admitting diagnosis was ischaemic heart disease (45.1%). Most patients (70.3%) were classified as New York Heart Association class II at discharge. Patients in university hospitals were frailer (3.2 vs 2.9; p=0.015), had more depressive symptoms (8.1 vs 5.7; p<0.001), and had lower functional status (66.2 vs 73.3; p<0.001) than those in tertiary care. Conclusion: Although HF patients admitted to university hospitals had access to advanced technology and health care specialists, clinical outcomes likely affected patient acuity. Interventions are urgently needed to ensure improved HF management considering the social determinants of health in Thailand.
author2 Mahidol University
author_facet Mahidol University
Tankumpuan T.
format Article
author Tankumpuan T.
author_sort Tankumpuan T.
title A Multi-Site Thailand Heart Failure Snapshot Study
title_short A Multi-Site Thailand Heart Failure Snapshot Study
title_full A Multi-Site Thailand Heart Failure Snapshot Study
title_fullStr A Multi-Site Thailand Heart Failure Snapshot Study
title_full_unstemmed A Multi-Site Thailand Heart Failure Snapshot Study
title_sort multi-site thailand heart failure snapshot study
publishDate 2023
url https://repository.li.mahidol.ac.th/handle/123456789/86763
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