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Article

Comparison of chronic systolic heart failure guideline adherence for two ambulatory clinics

Sarah B. Dehoney1, Lori M. Dickerson2, Jean M. Nappi3

  1. 1PharmD, BCPS Emergency Department Clinical Pharmacist, University of Utah, Department of Pharmacy Services, Salt Lake City, UT, United States.
  2. 2Pharm.D, FCCP, BCPS, Professor of Family Medicine, Associate Residency Program Director, Trident/MUSC Family Medicine Residency Program, Medical University of South Carolina, Charleston, SC, United States.
  3. 3PharmD, FCCP, BCPS, Professor of Clinical Pharmacy and Outcome Sciences, South Carolina College of Pharmacy-MUSC Campus, Professor of Medicine, Medical University of South Carolina, Charleston, SC, United States.

Received: 08-10-2009; Accepted: 17-01-2010.

Volume 8, Issue 1 · pp. 56–61 · PUBLISHED Jan-Mar 2010 · DOI:

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ABSTRACT

Objective: A quality review of the heart failure medical therapy for a community family medicine residency program clinic and a multidisciplinary heart failure specialty clinic was performed to compare adherence to ACC/AHA heart failure guidelines, with regard to medications and in titrating to recommended target doses. Methods: The study was a retrospective chart review and data collected included name and dose of any ACEI, beta-blocker, ARB, or other medication addressed in the guidelines. Results: Specialty clinic patients had significantly lower systolic blood pressures and ejection fractions. Significantly more patients were prescribed beta-blockers in the specialty clinic population (98% vs 80%, p<0.05). Both patient populations had very low rates of reaching target beta-blocker doses (15% vs 21%, p=0.27). More patients in the family medicine clinic reached target doses of ACEI (64% vs 49%, p<0.05) and ARBs (67% vs 35%, p<0.05). Conclusions: This study revealed the vast majority of patients in either a community family medicine residency program or heart failure specialty clinic were prescribed ACEI or ARB, and beta-blockers. However, achieving target doses should continue to be an important goal for practitioners.

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    Dehoney, S. B., Dickerson, L. M., & Nappi, J. M. (2010). Comparison of chronic systolic heart failure guideline adherence for two ambulatory clinics. Pharmacy Practice, 8(1), 56–61.