{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T19:55:42Z","timestamp":1782330942640,"version":"3.54.5"},"reference-count":14,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives:<\/jats:title>\n                  <jats:p>To obtain national data on demographics, investigation, treatment and short-term outcome for patients admitted with acute heart failure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design:<\/jats:title>\n                  <jats:p>Retrospective survey of emergency admissions with acute heart failure from October 2005 to March 2006.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting:<\/jats:title>\n                  <jats:p>Acute NHS trusts in England, Wales and Northern Ireland.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures:<\/jats:title>\n                  <jats:p>Patient demographics, referral source, admission characteristics, admission pathway, patient heart failure treatment on admission, length of stay, short-term mortality, discharge heart failure treatment, specialist follow-up and delayed discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>176\/177 (99%) acute trusts responded and 9387 records were surveyed. Patients mean age was 77 (SD 11) years, 50% were women and 56% had prior history of heart failure. On average, women were 5 years older than men (80 vs 75 years, p&lt;0.001), were less likely to have had echocardiography (52% vs 60%, p&lt;0.001), and if previously diagnosed with heart failure less likely to be treated with ACE inhibitors (58.3% vs 66.8%, p&lt;0.001), \u03b2-blockers (30.1% vs 35.5%, p\u200a=\u200a0.033) or aldosterone antagonists (18.9% vs 22.5%, p&lt;0.001) at admission. In-hospital mortality was 15%. Age-adjusted mortality was higher in men (16% vs 14%, p\u200a=\u200a0.042). 75% of patients were admitted with moderate to severe symptoms (NYHA class III or IV). Women were less likely to be prescribed anti-failure medication, except diuretics, on discharge (ACE-I\/AIIRA 66.5% vs 73.4%, \u03b2-blocker 31.3% vs 37.5%, aldosterone antagonists 23.4% vs 30.1%, all p&lt;0.001). Only 20% of patients had planned specialist heart failure follow-up, with &lt;1% referred for rehabilitation or specialist palliative care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>Many patients admitted to acute hospitals in England, Wales and Northern Ireland are not being managed fully in accordance with international evidence-based guidelines. In comparison with earlier UK studies, the use of echocardiography and ACE-I and \u03b2-blockers has increased, and length of stay reduced. Only a minority of patients are seen, or followed up, by a specialist service. Women seem to be less well managed against recommended guidelines. Significant and sustained effort is required to address gender inequalities in the provision of heart failure care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/hrt.2007.124107","type":"journal-article","created":{"date-parts":[[2007,11,14]],"date-time":"2007-11-14T20:35:04Z","timestamp":1195072504000},"page":"172-177","source":"Crossref","is-referenced-by-count":74,"title":["NHS heart failure survey: a survey of acute heart failure admissions in England, Wales and Northern Ireland"],"prefix":"10.1136","volume":"94","author":[{"given":"E D","family":"Nicol","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Fittall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Roughton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J G F","family":"Cleland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Dargie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M R","family":"Cowie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2007,11,14]]},"reference":[{"key":"2025091922035899000_94.2.172.1","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2000.2493"},{"key":"2025091922035899000_94.2.172.2","unstructured":"Petersen S Rayner M Wolstenholme J . Coronary heart disease statistics: heart failure supplement. London: British Heart Foundation, 2002."},{"key":"2025091922035899000_94.2.172.3","unstructured":"Royal College of General Practitioners, the Office of Population Censuses and Surveys and the Department of Health . Morbidity statistics from general practice, fourth national study 1991\u20131992. London: HMSO, 1995."},{"key":"2025091922035899000_94.2.172.4","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1998.1280"},{"key":"2025091922035899000_94.2.172.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(02)00823-0"},{"key":"2025091922035899000_94.2.172.6","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.1.49"},{"key":"2025091922035899000_94.2.172.7","unstructured":"Department of Health . National Service Framework for coronary heart disease: modern standards and service models. London: DH, 2000."},{"key":"2025091922035899000_94.2.172.8","unstructured":"National Institute for Clinical Excellence . Management of chronic heart failure in adults in primary and secondary care. 2003: guideline No 5. Available at http:\/\/www.nice.org.uk (accessed 10 October 2007)."},{"key":"2025091922035899000_94.2.172.9","unstructured":"Healthcare Commission . National service framework report. Getting to the heart of it. Coronary heart disease in England: a review of the progress towards national standards. May 2005. Available at http:\/\/www.healthcarecommission.org.uk"},{"key":"2025091922035899000_94.2.172.10","unstructured":"Department of Health . Developing services for heart failure. 2003."},{"key":"2025091922035899000_94.2.172.11","unstructured":"Healthcare Commission . Heart Failure Assessment Framework. February 2006. Available at www.healthcarecommission.org.uk (accessed 10 October 2007)."},{"key":"2025091922035899000_94.2.172.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11601-1"},{"key":"2025091922035899000_94.2.172.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(02)00700-5"},{"key":"2025091922035899000_94.2.172.14","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.638122"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.2007.124107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T05:04:09Z","timestamp":1758344649000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.2007.124107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11,14]]},"references-count":14,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2008,1,14]]},"published-print":{"date-parts":[[2008,2]]}},"alternative-id":["10.1136\/hrt.2007.124107"],"URL":"https:\/\/doi.org\/10.1136\/hrt.2007.124107","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,11,14]]}}}