Retrospective analysis of electronic health records of patients with heart failure: the first Russian experience
https://doi.org/10.15829/1560-4071-2021-4502
Abstract
The article presents the first experience of analyzing the treatment quality of hospitalized patients with heart failure based on electronic health records (EHR). We analyzed EHR of patients hospitalized in three large hospitals in Kirov. The results of the analysis indicated insufficient detailed information in the EHR, which complicates analyzing the accuracy of diagnosis and therapy quality. In particular, attention is drawn to the disproportionate number of patients with heart failure with reduced and preserved ejection fractionю This, apparently, is due to the low prevalence of assessing brain natriuretic peptides and conducting Doppler echocardiography. A separate part of the analysis is devoted to assessing the therapy quality in patients with concomitant diabetes. Despite the study limitations, the presented results can be useful for improving the quality of EHR filling for performing further observational clinical trials.
About the Authors
S. R. Gilyarevsky
Russian Medical Academy of Continuous Professional Education
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
Статья подготовлена при поддержке компании АстраЗенека.
D. V. Gavrilov
LLC K-Sky
Competing Interests:
Petrozavodsk
Competing Interests:
Статья подготовлена при поддержке компании АстраЗенека.
A. V. Gusev
LLC K-Sky
Competing Interests:
Petrozavodsk
Competing Interests:
Статья подготовлена при поддержке компании АстраЗенека.
References
1. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017;390(10100):1211-1259. doi:10.1016/S0140-6736(17)32154-2. Erratum in: Lancet. 2017;390(10106):e38. doi:10.1016/S0140-6736(17)32647-8.
2. Fomin IV. Chronic heart failure in Russian Federation: what do we know and what to do. Russian Journal of Cardiology. 2016;(8):7-13. (In Russ.) doi:10.15829/1560-4071-2016-8-7-13.
3. Dziadkowiec O, Durbin JS, Jayaraman MV, et al. “Improving the Quality and Design of Retrospective Clinical Outcome Studies that Utilize Electronic Health Records”, HCA Healthcare Journal of Medicine. 2020:1(3);Article 4. doi:10.36518/2689-0216.1094.
4. Kim E, Rubinstein S, Nead K, et al. The Evolving Use of Electronic Health Records (EHR) for Research. Semin Radiat Oncol. 2019;29(4):354-61. doi:10.1016/j.semradonc.2019.05.010.
5. Federal Law “On Personal Data” of 27.07.2006 N 152-FZ. (In Russ.)
6. Federal State Statistics Service. (In Russ.) https://rosstat.gov.ru/dbscripts/munst/munst33/DBInet.cgi.
7. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18(8):891-975. doi:10.1002/ejhf.592.
8. Loai S, Cheng HM. Heart failure with preserved ejection fraction: the missing pieces in diagnostic imaging. Heart Fail Rev. 2020;25(2):305-19. doi:10.1007/s10741-019-09836-8.
9. Huusko J, Purmonen T, Toppila I, et al. Real-world clinical diagnostics of heart failure patients with reduced or preserved ejection fraction. ESC Heart Fail. 2020;7(3):1039-48. doi:10.1002/ehf2.12665.
10. Kapłon-Cieślicka A, Laroche C, Crespo-Leiro MG, et al. Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and the ESC Heart Failure LongTerm Registry Investigators. Is heart failure misdiagnosed in hospitalized patients with preserved ejection fraction? From the European Society of Cardiology, Heart Failure Association EURObservational Research Programme Heart Failure Long-Term Registry. ESC Heart Fail. 2020;7(5):2098-112. doi:10.1002/ehf2.12817.
11. Esdar M, Hüsers J, Weiß JP, et al. Diffusion dynamics of electronic health records: A longitudinal observational study comparing data from hospitals in Germany and the United States. Int J Med Inform. 2019;131:103952. doi:10.1016/j.ijmedinf.2019.103952.
12. Callahan A, Shah NH, Chen JH. Research and Reporting Considerations for Observational Studies Using Electronic Health Record Data. Ann Intern Med. 2020;172(11 Suppl):S79-S84. doi:10.7326/M19-0873.
Review
For citations:
Gilyarevsky S.R., Gavrilov D.V., Gusev A.V. Retrospective analysis of electronic health records of patients with heart failure: the first Russian experience. Russian Journal of Cardiology. 2021;26(5):4502. (In Russ.) https://doi.org/10.15829/1560-4071-2021-4502
Views:
1018
Email this article 