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Table 4 Prescription by pharmacological group and type of HF.

From: Annual evolution of the prescription of drugs with prognostic implications in acute decompensated heart failure with reduced ejection fraction

 

2020

 

De novo HF without previous heart disease

De novo with previous heart disease

Non-de novo

 

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

Admission

0

0

0

0

0

0

14(70.0)

0

14(70.0)

11(55.0)

3(15.0)

2(10.0)

27(30.0)

23(25.6)

49(54.4)

74(82.2)

43(47.8)

15(16.7)

Discharge

9(36.0)

9(36.0)

18(72.0)

14(56.0)

13(52.0)

2(8.0)

14(70.0)

4(20.0)

18(90.0)

18(90.0)

11(55.0)

5(25.0)

24(26.7)

37(41.1)

60(66.7)

71(78.9)

50(55.6)

20(22.2)

P

-

-

-

-

-

-

1

-

0.219

0.016

0.008

0.250

0.648

0.007

0.052

0.607

0.167

0.063

Difference % (CI95%)

36.0(15.2/56.8)

36.0(15.2/56.8)

72.0(52.4/91.6)

56.0(34.5/77.5)

52.0(30.4/73.6)

8.0(1.0/26.0)

0.0(-31.3/31.3)

20.0(5.7/43.7)

20.0(-8.5/29.7)

40.0(11.1/47.8)

40.0(7.8/48.8)

15.0(-17.8/27.2)

-3.3(-12.6/7.0)

15.5(5.4/25.7)

12.2(1.2/23.2)

-3.3(-11.2/5.9)

7.8(-2.8/15.8)

5.5(-1.5/8.5)

 

2021

 

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

Admission

0

0

0

0

0

0

35(76.1)

1(2.2)

36(78.3)

14(30.4)

1(2.2)

6(13.0)

63(37.1)

48(28.2)

111(65.3)

136(80.0)

98(57.6)

61(35.9)

Discharge

21(46.7)

15(33.3)

36(80.0)

38(84.4)

33(73.3)

15(33.3)

22(47.8)

15(32.6)

37(80.4)

40(87.0)

20(43.5)

17(37.0)

43(25.3)

71(41.8)

114(67.1)

142(83.5)

117(68.8)

80(47.1)

P

-

-

-

-

-

-

0.007

< 0.001

0.999

< 0.001

< 0.001

0.001

0.002

< 0.001

0.690

0.362

0.001

< 0.001

Difference % (CI95%)

46.7(31.0/62.4)

33.3(18.4/48.2)

80.0(67.2/92.8)

84.4(72.7/96.1)

73.3(59.3/87.3)

33.3(18.4/48.2)

-28.3(-46.0/-10.5)

30.4(11.5/31.8)

2.1(-12.7/15.9)

56.6(40.8/72.3)

41.3(25.9/56.8)

24.0(8.7/28.0)

-11.8(-18.8/-4.7)

13.5(7.2/19.8)

1.8(-4.0/7.5)

3.5(-2.8/9.8)

11.2(5.2/17.2)

11.2(5.4/16.9)

 

2022

 

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

Admission

0

0

0

0

0

0

30(73.2)

0

30(73.2)

15(36.6)

2(4.9)

9(22.0)

39(30.7)

40(31.5)

79(62.2)

88(69.3)

69(54.3)

69(54.3)

Discharge

12(31.6)

14(36.8)

26(68.4)

27(71.1)

26(68.4)

24(63.2)

17(41.5)

18(43.9)

35(85.4)

36(87.8)

29(70.7)

26(63.4)

31(24.4)

48(37.8)

79(62.2)

92(72.4)

81(63.8)

95(74.8)

P

-

-

-

-

-

-

0.004

-

0.227

< 0.001

< 0.001

< 0.001

0.096

0.115

1

0.424

0.004

< 0.001

Difference % (CI95%)

31.6(15.5/47.7)

36.8(20.2/53.5)

68.4(52.3/84.5)

71.1(55.3/86.8)

68.4(52.3/84.5)

63.2(46.5/79.8)

-31.7(-43.2/-9.7)

43.9(27.5/60.3)

12.2(-5.9/23.6)

51.2(39.2/63.1)

65.8(47.9/80.5)

41.4(25.6/57.2)

-6.3(-11.4/1.0)

6.3(-0.5/13.1)

0.0(-6.8/6.8)

3.1(-3.3/8.2)

9.5(2.9/12.2)

20.5(13.1/27.8)

 

2020–2022

 

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

ACEI/ARB

ARNI

RAASI

Bb

MRA

SGLT2i

Admission

0

0

0

0

0

0

79(73.8)

1(0.9)

80(74.8)

40(37.4)

6(5.6)

17(15.9)

129(33.3)

111(28.7)

239(61.8)

298(77.0)

210(54.3)

145(37.5)

Discharge

42(38.9)

38(35.2)

80(74.1)

79(73.1)

72(66.7)

41(38.0)

53(49.5)

37(34.6)

90(84.1)

94(87.9)

60(56.1)

48(44.9)

98(25.3)

156(40.3)

253(65.4)

305(78.8)

248(64.1)

195(50.4)

P

-

-

-

-

-

-

< 0.001

< 0.001

0.087

< 0.001

< 0.001

< 0.001

0.001

< 0.001

0.120

0.435

< 0.001

< 0.001

Difference % (CI95%)

38.9(29.2/48.5)

35.2(25.7–44.7)

74.1(65.3/82.8)

73.1(64.3/82.0)

66.7(57.3/76.0)

38.0(28.3/47.6)

-24.3(-36.4/-12.2)

33.7(24.8/42.7)

9.3(-0.2/18.9)

50.5(40.6/60.4)

50.5(40.6/60.3)

29.0(20.1/37.9)

-8.0(-12.4/-3.6)

11.6(7.3/15.9)

3.6(-0.6/7.8)

1.8(-2.1/5.7)

9.8(5.9/13.8)

12.9(9.2/16.6)

  1. 95% CI: 95% confidence interval.
  2. Abbreviations: Bb: beta-blockers; IECA/ARB: angiotensin converting enzyme inhibitor / angiotensin receptor antagonist; ARNI: neprilysin and angiotensin receptor inhibitor; RAASI: renin angiotensin system inhibitor; MRA: mineralocorticoid receptor antagonist; SGLT2i: sodium-glucose cotransporter dual inhibitor