低收入和中等收入国家心力衰竭护理：系统综述和Meta分析

数据集获取（Figshare）

• 源站标题：Heart Failure Care in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis
• DOI：10.1371/journal.pmed.1001699
• 发布日期：2014-08-12
• 文件数：2 个
• 文件总体积：216.76 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Heart_Failure_Care_in_Low_and_Middle_Income_Countries_A_Systematic_Review_and_Meta_Analysis/1136165

命令行下载

curl -L -o "Protocol_S1.pdf" "https://ndownloader.figshare.com/files/1632049"
curl -L -o "Checklist_S1.doc" "https://ndownloader.figshare.com/files/1632050"

文件清单

• Protocol_S1.pdf（153.27 KB）
• Checklist_S1.doc（63.49 KB）

文件总体积 216.76 KB（源站 API 实测）。

数据说明

Background
Heart failure places a significant burden on patients and health systems in high-income countries. However, information about its burden in low- and middle-income countries (LMICs) is scant. We thus set out to review both published and unpublished information on the presentation, causes, management, and outcomes of heart failure in LMICs.
Methods and Findings
Medline, Embase, Global Health Database, and World Health Organization regional databases were searched for studies from LMICs published between 1 January 1995 and 30 March 2014. Additional unpublished data were requested from investigators and international heart failure experts. We identified 42 studies that provided relevant information on acute hospital care (25 LMICs; 232,550 patients) and 11 studies on the management of chronic heart failure in primary care or outpatient settings (14 LMICs; 5,358 patients). The mean age of patients studied ranged from 42 y in Cameroon and Ghana to 75 y in Argentina, and mean age in studies largely correlated with the human development index of the country in which they were conducted (r = 0.71, p<0.001). Overall, ischaemic heart disease was the main reported cause of heart failure in all regions except Africa and the Americas, where hypertension was predominant. Taking both those managed acutely in hospital and those in non-acute outpatient or community settings together, 57% (95% confidence interval [CI]: 49%–64%) of patients were treated with angiotensin-converting enzyme inhibitors, 34% (95% CI: 28%–41%) with beta-blockers, and 32% (95% CI: 25%–39%) with mineralocorticoid receptor antagonists. Mean inpatient stay was 10 d, ranging from 3 d in India to 23 d in China. Acute heart failure accounted for 2.2% (range: 0.3%–7.7%) of total hospital admissions, and mean in-hospital mortality was 8% (95% CI: 6%–10%). There was substantial variation between studies (p<0.001 across all variables), and most data were from urban tertiary referral centres. Only one population-based study assessing incidence and/or prevalence of heart failure was identified.
Conclusions
The presentation, underlying causes, management, and outcomes of heart failure vary substantially acr

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1001699（source: https://plos.figshare.com/articles/dataset/Heart_Failure_Care_in_Low_and_Middle_Income_Countries_A_Systematic_Review_and_Meta_Analysis/1136165）。