A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland

N. Murphy, Colin Richard Simpson, F. A. McAlister, Sandra Stewart, K. McIntyre, M. Kirkpatrick, J. Chalmers, A. Redpath, S. Capewell, J. J. V. McMurray

    Research output: Contribution to journalArticle

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    Abstract

    Objective: To examine the epidemiology, primary care burden, and treatment of heart failure in Scotland, UK.

    Design: Cross sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 1999 and 31 March 2000.

    Setting: 53 primary care practices ( 307 741 patients).

    Subjects: 2186 adult patients with heart failure.

    Results: The prevalence of heart failure in Scotland was 7.1 in 1000, increasing with age to 90.1 in 1000 among patients greater than or equal to 85 years. The incidence of heart failure was 2.0 in 1000, increasing with age to 22.4 in 1000 among patients greater than or equal to 85 years. For older patients, consultation rates for heart failure equalled or exceeded those for angina and hypertension. Respiratory tract infection was the most common comorbidity leading to consultation. Among men, 23% were prescribed a beta blocker, 11% spironolactone, and 46% an angiotensin converting enzyme inhibitor. The corresponding figures for women were 20% (p = 0.29 versus men), 7% (p = 0.02), and 34% (p < 0.001). Among patients, 75 years 26% were prescribed a &beta; blocker, 11% spironolactone, and 50% an angiotensin converting enzyme inhibitor. The corresponding figures for patients &GE; 75 years were 19% (p = 0.04 versus patients < 75), 7% (p = 0.04), and 33% (p < 0.001).

    Conclusions: Heart failure is a common condition, especially with advancing age. In the elderly, the community burden of heart failure is at least as great as that of angina or hypertension. The high rate of concomitant respiratory tract infection emphasises the need for strategies to immunise patients with heart failure against influenza and pneumococcal infection. Drugs proven to improve survival in heart failure are used less frequently for elderly patients and women.

    Original languageEnglish
    Pages (from-to)1129-1136
    Number of pages7
    JournalHeart
    Volume90
    DOIs
    Publication statusPublished - 2004

    Keywords

    • VENTRICULAR SYSTOLIC DYSFUNCTION
    • GENERAL-PRACTICE
    • ELDERLY-PATIENTS
    • COMMUNITY
    • POPULATION
    • MANAGEMENT
    • INFLUENZA
    • ETIOLOGY
    • EPIDEMIOLOGY
    • VACCINATION

    Cite this

    Murphy, N., Simpson, C. R., McAlister, F. A., Stewart, S., McIntyre, K., Kirkpatrick, M., ... McMurray, J. J. V. (2004). A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland. Heart, 90, 1129-1136. https://doi.org/10.1136/hrt.2003.029553

    A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland. / Murphy, N.; Simpson, Colin Richard; McAlister, F. A.; Stewart, Sandra; McIntyre, K.; Kirkpatrick, M.; Chalmers, J.; Redpath, A.; Capewell, S.; McMurray, J. J. V.

    In: Heart, Vol. 90, 2004, p. 1129-1136.

    Research output: Contribution to journalArticle

    Murphy, N, Simpson, CR, McAlister, FA, Stewart, S, McIntyre, K, Kirkpatrick, M, Chalmers, J, Redpath, A, Capewell, S & McMurray, JJV 2004, 'A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland', Heart, vol. 90, pp. 1129-1136. https://doi.org/10.1136/hrt.2003.029553
    Murphy N, Simpson CR, McAlister FA, Stewart S, McIntyre K, Kirkpatrick M et al. A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland. Heart. 2004;90:1129-1136. https://doi.org/10.1136/hrt.2003.029553
    Murphy, N. ; Simpson, Colin Richard ; McAlister, F. A. ; Stewart, Sandra ; McIntyre, K. ; Kirkpatrick, M. ; Chalmers, J. ; Redpath, A. ; Capewell, S. ; McMurray, J. J. V. / A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland. In: Heart. 2004 ; Vol. 90. pp. 1129-1136.
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    title = "A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland",
    abstract = "Objective: To examine the epidemiology, primary care burden, and treatment of heart failure in Scotland, UK.Design: Cross sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 1999 and 31 March 2000.Setting: 53 primary care practices ( 307 741 patients).Subjects: 2186 adult patients with heart failure.Results: The prevalence of heart failure in Scotland was 7.1 in 1000, increasing with age to 90.1 in 1000 among patients greater than or equal to 85 years. The incidence of heart failure was 2.0 in 1000, increasing with age to 22.4 in 1000 among patients greater than or equal to 85 years. For older patients, consultation rates for heart failure equalled or exceeded those for angina and hypertension. Respiratory tract infection was the most common comorbidity leading to consultation. Among men, 23{\%} were prescribed a beta blocker, 11{\%} spironolactone, and 46{\%} an angiotensin converting enzyme inhibitor. The corresponding figures for women were 20{\%} (p = 0.29 versus men), 7{\%} (p = 0.02), and 34{\%} (p < 0.001). Among patients, 75 years 26{\%} were prescribed a &beta; blocker, 11{\%} spironolactone, and 50{\%} an angiotensin converting enzyme inhibitor. The corresponding figures for patients &GE; 75 years were 19{\%} (p = 0.04 versus patients < 75), 7{\%} (p = 0.04), and 33{\%} (p < 0.001).Conclusions: Heart failure is a common condition, especially with advancing age. In the elderly, the community burden of heart failure is at least as great as that of angina or hypertension. The high rate of concomitant respiratory tract infection emphasises the need for strategies to immunise patients with heart failure against influenza and pneumococcal infection. Drugs proven to improve survival in heart failure are used less frequently for elderly patients and women.",
    keywords = "VENTRICULAR SYSTOLIC DYSFUNCTION, GENERAL-PRACTICE, ELDERLY-PATIENTS, COMMUNITY, POPULATION, MANAGEMENT, INFLUENZA, ETIOLOGY, EPIDEMIOLOGY, VACCINATION",
    author = "N. Murphy and Simpson, {Colin Richard} and McAlister, {F. A.} and Sandra Stewart and K. McIntyre and M. Kirkpatrick and J. Chalmers and A. Redpath and S. Capewell and McMurray, {J. J. V.}",
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    volume = "90",
    pages = "1129--1136",
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    TY - JOUR

    T1 - A National Survey of the Prevalence, Incidence, Primary Care Burden and Treatment of Heart Failure in Scotland

    AU - Murphy, N.

    AU - Simpson, Colin Richard

    AU - McAlister, F. A.

    AU - Stewart, Sandra

    AU - McIntyre, K.

    AU - Kirkpatrick, M.

    AU - Chalmers, J.

    AU - Redpath, A.

    AU - Capewell, S.

    AU - McMurray, J. J. V.

    PY - 2004

    Y1 - 2004

    N2 - Objective: To examine the epidemiology, primary care burden, and treatment of heart failure in Scotland, UK.Design: Cross sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 1999 and 31 March 2000.Setting: 53 primary care practices ( 307 741 patients).Subjects: 2186 adult patients with heart failure.Results: The prevalence of heart failure in Scotland was 7.1 in 1000, increasing with age to 90.1 in 1000 among patients greater than or equal to 85 years. The incidence of heart failure was 2.0 in 1000, increasing with age to 22.4 in 1000 among patients greater than or equal to 85 years. For older patients, consultation rates for heart failure equalled or exceeded those for angina and hypertension. Respiratory tract infection was the most common comorbidity leading to consultation. Among men, 23% were prescribed a beta blocker, 11% spironolactone, and 46% an angiotensin converting enzyme inhibitor. The corresponding figures for women were 20% (p = 0.29 versus men), 7% (p = 0.02), and 34% (p < 0.001). Among patients, 75 years 26% were prescribed a &beta; blocker, 11% spironolactone, and 50% an angiotensin converting enzyme inhibitor. The corresponding figures for patients &GE; 75 years were 19% (p = 0.04 versus patients < 75), 7% (p = 0.04), and 33% (p < 0.001).Conclusions: Heart failure is a common condition, especially with advancing age. In the elderly, the community burden of heart failure is at least as great as that of angina or hypertension. The high rate of concomitant respiratory tract infection emphasises the need for strategies to immunise patients with heart failure against influenza and pneumococcal infection. Drugs proven to improve survival in heart failure are used less frequently for elderly patients and women.

    AB - Objective: To examine the epidemiology, primary care burden, and treatment of heart failure in Scotland, UK.Design: Cross sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 1999 and 31 March 2000.Setting: 53 primary care practices ( 307 741 patients).Subjects: 2186 adult patients with heart failure.Results: The prevalence of heart failure in Scotland was 7.1 in 1000, increasing with age to 90.1 in 1000 among patients greater than or equal to 85 years. The incidence of heart failure was 2.0 in 1000, increasing with age to 22.4 in 1000 among patients greater than or equal to 85 years. For older patients, consultation rates for heart failure equalled or exceeded those for angina and hypertension. Respiratory tract infection was the most common comorbidity leading to consultation. Among men, 23% were prescribed a beta blocker, 11% spironolactone, and 46% an angiotensin converting enzyme inhibitor. The corresponding figures for women were 20% (p = 0.29 versus men), 7% (p = 0.02), and 34% (p < 0.001). Among patients, 75 years 26% were prescribed a &beta; blocker, 11% spironolactone, and 50% an angiotensin converting enzyme inhibitor. The corresponding figures for patients &GE; 75 years were 19% (p = 0.04 versus patients < 75), 7% (p = 0.04), and 33% (p < 0.001).Conclusions: Heart failure is a common condition, especially with advancing age. In the elderly, the community burden of heart failure is at least as great as that of angina or hypertension. The high rate of concomitant respiratory tract infection emphasises the need for strategies to immunise patients with heart failure against influenza and pneumococcal infection. Drugs proven to improve survival in heart failure are used less frequently for elderly patients and women.

    KW - VENTRICULAR SYSTOLIC DYSFUNCTION

    KW - GENERAL-PRACTICE

    KW - ELDERLY-PATIENTS

    KW - COMMUNITY

    KW - POPULATION

    KW - MANAGEMENT

    KW - INFLUENZA

    KW - ETIOLOGY

    KW - EPIDEMIOLOGY

    KW - VACCINATION

    U2 - 10.1136/hrt.2003.029553

    DO - 10.1136/hrt.2003.029553

    M3 - Article

    VL - 90

    SP - 1129

    EP - 1136

    JO - Heart

    JF - Heart

    SN - 1355-6037

    ER -