A Multi-Site Thailand Heart Failure Snapshot Study
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Issued Date
2022-01-01
Resource Type
ISSN
14439506
eISSN
14442892
Scopus ID
2-s2.0-85111914249
Pubmed ID
34364801
Journal Title
Heart Lung and Circulation
Volume
31
Issue
1
Start Page
85
End Page
94
Rights Holder(s)
SCOPUS
Bibliographic Citation
Heart Lung and Circulation Vol.31 No.1 (2022) , 85-94
Suggested Citation
Tankumpuan T. A Multi-Site Thailand Heart Failure Snapshot Study. Heart Lung and Circulation Vol.31 No.1 (2022) , 85-94. 94. doi:10.1016/j.hlc.2021.07.010 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86763
Title
A Multi-Site Thailand Heart Failure Snapshot Study
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
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.