First registry of heart failure at the Caja Nacional de Salud Hospital

PRICNASA registry

Abstract

Background: Heart failure is a disease that affects millions of people around the world. A chronic phase characterization is important in Latin American countries. It is with this motivation that the authors decided to carry out a registry at hospital level to encourage better data and on a larger scale: The First Registry of Heart Failure at the Caja Nacional de Salud Hospital (PRICNASA). Method: All patients older than 18 years admitted to the cardiology ward for decompensated HF at Hospital Obrero # 3 - CNS between  September 2018 and September 2019 were prospectively included. The diagnosis of HF was left at the discretion of the  investigators and patients with HF were excluded due to myocardial infarction and postoperative cardiac surgery. Results: There were 194 patients admitted; the mean age was 61 years, and about 61% were male. Chagas disease was the most frequent etiology in 49% of the patients. Medication was optimized upon discharge, increasing ACEIs from 12.9% to 27.8%, beta-blockers from 39.2% to 58.8%, furosemide from 41.2% to 79.9%, and spironolactone from 22.7% to 56.2%. Regarding complications, 6.2% presented cardiogenic shock and mechanical ventilation. Patient mortality was 7.2% corresponding to 13 patients who died in the registry.
Conclusions: The PRICNASA registry showed similarities in terms of incidence in many factors such as age and comorbidities. Chagas disease stands out as the main etiology in most patients and a mortality that is comparable with other realities worldwide. This first local registry will serve for future contributions to the knowledge of the pathology and its treatment at regional level within the different scenarios of the health systems. It will be a starting point to make.