Challenges to heart failure medication prescribing post-hospitalization

Int J Pharm Pract. 2024 Sep 3;32(5):423-425. doi: 10.1093/ijpp/riae035.

Abstract

Objectives: To determine the prevalence of heart failure (HF) medication prescribing on discharge post-HF-related admission.

Methods: A retrospective audit was conducted for 216 HF admissions over a period of 6 months; medication data from electronic records were collected for analysis.

Key findings: The prevalence of HF medication prescribing on discharge was: 32.9% (95% confidence interval: 26.6-39.6) renin-angiotensin-aldosterone system inhibitors, 10.6% (6.9-15.6) angiotensin receptor-neprilysin inhibitors, 31.5% (25.4-38.1) HF-specific beta-blockers, 42.6% (35.9-49.5) aldosterone receptor antagonists, and 11.6% (7.6-16.6) sodium-glucose cotransporter-2 inhibitors.

Conclusion: HF medication prescribing remains relatively low despite the known benefits and recommendations listed in the guidelines.

Keywords: cardiovascular pharmacology; evidence-based therapies; heart failure; heart failure treatment; medication management; post-hospitalization; prescribing challenges.

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Aged
  • Aged, 80 and over
  • Drug Prescriptions / statistics & numerical data
  • Female
  • Heart Failure* / drug therapy
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Patient Discharge / statistics & numerical data
  • Practice Patterns, Physicians' / statistics & numerical data
  • Retrospective Studies

Substances

  • Adrenergic beta-Antagonists