{"id":"https://openalex.org/W2398242571","doi":null,"title":"Translating guidelines into clinical practice: benefits of an acute heart failure unit .","display_name":"Translating guidelines into clinical practice: benefits of an acute heart failure unit .","publication_year":2007,"publication_date":"2007-11-01","ids":{"openalex":"https://openalex.org/W2398242571","mag":"2398242571","pmid":"https://pubmed.ncbi.nlm.nih.gov/18297836"},"language":"en","primary_location":{"id":"pmid:18297836","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18297836","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology","raw_type":"Comparative Study"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010519775","display_name":"C\u00e2ndida Fonseca","orcid":"https://orcid.org/0000-0003-3019-5956","observed_orcids":["https://orcid.org/0000-0003-3019-5956"]},"institutions":[{"id":"https://openalex.org/I4210136214","display_name":"Hospital of St. Francis Xavier","ror":"https://ror.org/03qxkp346","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210136214"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Candida Fonseca","raw_affiliation_strings":["Unidade de Insufici\u00eancia Card\u00edaca, Hospital de S. Francisco Xavier/CHLO, Lisboa, Potugal. candidafonseca@sapo.pt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade de Insufici\u00eancia Card\u00edaca, Hospital de S. Francisco Xavier/CHLO, Lisboa, Potugal. candidafonseca@sapo.pt","institution_ids":["https://openalex.org/I4210136214"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014330709","display_name":"F\u00e1tima Ceia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Fatima Ceia","raw_affiliation_strings":["NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011026464","display_name":"Pedro Sarmento","orcid":"https://orcid.org/0000-0002-5970-2707","observed_orcids":["https://orcid.org/0000-0002-5970-2707"]},"institutions":[{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Pedro Moraes Sarmento","raw_affiliation_strings":["NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103621283","display_name":"Filipa Marqu\u00eas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Filipa Marques","raw_affiliation_strings":["NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ricardo Covas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ricardo Covas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5023654758","display_name":"Ana Aleixo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Aleixo","raw_affiliation_strings":["NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NOVA Medical School|Faculdade de Ci\u00eancias M\u00e9dicas (NMS|FCM)","institution_ids":["https://openalex.org/I83558840"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"26","issue":"11","first_page":"1111","last_page":"28"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-heart-failure","display_name":"acute heart failure","score":0.8420000076293945},{"id":"https://openalex.org/keywords/heart-failure-unit","display_name":"heart failure unit","score":0.9229999780654907},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.5860000252723694},{"id":"https://openalex.org/keywords/heart-failure-diagnosis","display_name":"heart failure diagnosis","score":0.5220000147819519},{"id":"https://openalex.org/keywords/heart-failure-pharmacotherapy","display_name":"heart failure pharmacotherapy","score":0.6949999928474426},{"id":"https://openalex.org/keywords/beta-blockers","display_name":"beta-blockers","score":0.8679999709129333},{"id":"https://openalex.org/keywords/warfarin","display_name":"warfarin","score":0.8240000009536743},{"id":"https://openalex.org/keywords/ace-inhibitors","display_name":"ACE inhibitors","score":0.6729999780654907},{"id":"https://openalex.org/keywords/angiotensin-receptor-blockers","display_name":"angiotensin receptor blockers","score":0.8999999761581421},{"id":"https://openalex.org/keywords/spironolactone","display_name":"spironolactone","score":0.9430000185966492},{"id":"https://openalex.org/keywords/diuretics","display_name":"diuretics","score":0.9350000023841858},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8009999990463257},{"id":"https://openalex.org/keywords/heart-failure-hospitalization","display_name":"heart failure hospitalization","score":0.7620000243186951},{"id":"https://openalex.org/keywords/heart-failure-mortality","display_name":"heart failure mortality","score":0.625},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.49300000071525574},{"id":"https://openalex.org/keywords/internal-medicine-ward","display_name":"internal medicine ward","score":0.3019999861717224},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.6769999861717224},{"id":"https://openalex.org/keywords/acute-decompensated-heart-failure","display_name":"acute decompensated heart failure","score":0.7139999866485596}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9375543594360352},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.7743290066719055},{"id":"https://openalex.org/C2776379505","wikidata":"https://www.wikidata.org/wiki/Q422188","display_name":"Spironolactone","level":3,"score":0.6726545095443726},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5627714395523071},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5088105797767639},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.48812422156333923},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4316338002681732},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4034975469112396},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.37125837802886963},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019983","descriptor_name":"Guideline Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:18297836","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18297836","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology","raw_type":"Comparative Study"},{"id":"mag:2398242571","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18297836","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4406412820","https://openalex.org/W4321189565","https://openalex.org/W7166467742","https://openalex.org/W4404344017","https://openalex.org/W7115586246","https://openalex.org/W7123361412","https://openalex.org/W2531803646","https://openalex.org/W2852616462","https://openalex.org/W2132958439","https://openalex.org/W7168171637"],"abstract_inverted_index":{"UNLABELLED:":[0],"Heart":[1,32],"failure":[2,33,90],"(HF)":[3],"is":[4,447],"a":[5,73,88,112,125,149,162,448,514],"very":[6],"prevalent":[7],"condition,":[8],"with":[9,124,161,290,436],"high":[10],"mortality,":[11],"morbidity":[12,48,102,438,519],"and":[13,49,51,60,83,93,101,106,199,219,227,236,306,333,370,383,397,411,425,439,490,495,501],"costs,":[14,533],"despite":[15,465],"the":[16,56,85,131,134,154,177,202,212,282,348,362,442,455,459,463,469,476,485,507,511,524],"development":[17],"of":[18,41,58,69,76,87,114,127,133,137,156,164,187,211,261,269,284,322,468,488,506,531],"effective":[19],"drug":[20,61],"therapy.":[21],"Many":[22],"patients":[23,70,305],"still":[24],"do":[25],"not":[26,253],"have":[27,35],"access":[28],"to":[29,46,72,94,130,148,176,222,230,239,316,343,472,497,523,537],"appropriate":[30,42],"treatment.":[31],"clinics":[34],"shown":[36],"success":[37],"in":[38,65,201,256,267,271,276,281,286,302,313,330,340,347,365,434,453,462,475,484,517],"improving":[39],"delivery":[40],"HF":[43,128,182,231,240,263,304,314,332,341,532],"management,":[44],"helping":[45],"reduce":[47],"mortality":[50,100,216,218,226,234,237,440,489,521],"costs.":[52],"AIMS:":[53],"To":[54],"compare":[55],"quality":[57],"diagnosis":[59,126,264],"therapy":[62],"at":[63,205,367,499],"discharge":[64,206],"an":[66,77,157],"unselected":[67],"population":[68,113,163,460],"admitted":[71,146,174],"medical":[74,150],"ward":[75,151],"urban":[78],"central":[79],"teaching":[80],"hospital":[81],"before":[82,153],"after":[84,444],"creation":[86,155],"heart":[89],"unit":[91],"(HFU)":[92],"evaluate":[95],"its":[96],"impact":[97],"on":[98],"long-term":[99],"from":[103,107,441,492],"all":[104,223,454,493],"causes":[105,224,494],"HF.":[108,262],"METHODS:":[109],"We":[110],"compared":[111,289,471,522],"153":[115],"patients,":[116,166],"aged":[117,167],"75":[118],"+/-":[119,169],"12.8":[120],"years,":[121,171],"50.3%":[122],"male,":[123,173],"according":[129],"guidelines":[132],"European":[135],"Society":[136],"Cardiology,":[138],"NYHA":[139],"classes":[140],"II-IV":[141],"(74%":[142],"III":[143],"or":[144,259],"IV),":[145],"consecutively":[147,175],"(MW)":[152],"HFU":[158,178,351,512],"(Group":[159,183],"1),":[160],"82":[165],"73":[168],"12.4":[170],"62.2%":[172],"for":[179,361,450,529],"acute":[180],"decompensated":[181],"2).":[184],"The":[185,209,242,249,279,359,504],"prescription":[186,283],"diuretics,":[188],"spironolactone,":[189],"angiotensin-converting":[190],"enzyme":[191],"(ACE)":[192],"inhibitors,":[193],"beta-blockers,":[194],"angiotensin":[195],"receptor":[196],"antagonists":[197],"(ARAs)":[198],"warfarin":[200,323],"two":[203,250],"groups":[204],"was":[207,245,265,293,320,352,482],"analyzed.":[208],"endpoints":[210,457,487],"study":[213,508],"were:":[214,373],"in-hospital":[215],"(IM),":[217],"hospitalization":[220,228,491,527],"due":[221,229,238,315,342,496],"(P1),":[225],"(P2),":[232],"all-cause":[233,303,331],"(P3),":[235],"(P4).":[241],"follow-up":[243],"duration":[244],"18":[246,371,502],"months.":[247,503],"RESULTS:":[248],"populations":[251],"were":[252],"statistically":[254,479],"different":[255,363],"gender,":[257],"age":[258],"type":[260],"correct":[266],"67.7%":[268],"cases":[270],"Group":[272,277,287,291],"1,":[273],"vs.":[274,297,308,325,335,350,354],"86%":[275],"2.":[278],"increase":[280],"beta-blockers":[285],"2":[288],"1":[292],"highly":[294],"significant":[295,480],"(4.9%":[296],"36.0%,":[298],"p":[299,310,327,337],"=":[300,311,328,338,357,377,381,386,391,395,400,405,409,414,419,423,428],"0.000":[301],"28.9%":[307],"56.8%,":[309],"0.000,":[312],"systolic":[317,344],"dysfunction),":[318],"as":[319],"that":[321,510],"(16.7%":[324],"32.6%,":[326],"0.003":[329],"17.6%":[334],"44.4%,":[336],"0.001,":[339],"dysfunction).":[345],"IM":[346],"MW":[349],"7.7%":[353],"8.5%":[355],"(p":[356,376,380,385,390,394,399,404,408,413,418,422,427],"0.42).":[358],"probabilities":[360],"end-points":[364],"MW/HFU":[366],"6,":[368],"12":[369,500],"months":[372],"P1:":[374],"55/35%":[375],"0.013),":[378],"68/46%":[379],"0.0005)":[382],"73/51%":[384],"0.0004);":[387],"P2:":[388],"26/19%":[389],"0.1),":[392],"34/20%":[393],"0.008)":[396],"39/23%":[398],"0.004);":[401],"P3:":[402],"25.5/21%":[403],"0.22),":[406],"31/30%":[407],"0.44)":[410],"38/35%":[412],"0.32);":[415],"P4:":[416],"16/19%":[417],"0.28),":[420],"23/20%":[421],"0.3)":[424],"27/33%":[426],"0.25).":[429],"CONCLUSIONS:":[430],"These":[431],"results":[432,505],"are":[433,535],"agreement":[435],"reported":[437],"syndrome":[443],"hospitalization.":[445],"There":[446],"tendency":[449],"better":[451,515],"outcome":[452],"studied":[456],"among":[458],"treated":[461,474],"HFU,":[464],"greater":[466],"severity":[467],"disease,":[470],"those":[473],"MW.":[477,525],"A":[478],"improvement":[481],"found":[483],"composite":[486],"HF,":[498],"indicate":[509],"had":[513],"performance":[516],"reducing":[518],"than":[520],"As":[526],"accounts":[528],"60%":[530],"HFUs":[534],"expected":[536],"be":[538],"cost":[539],"effective.":[540]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
