Medication adherence and survival among hospitalized heart failure patients in a tertiary hospital in Tanzania: a prospective cohort study

Management of heart failure is complex and multifaceted but adherence to medications remains the cornerstone of preventing avoidable readmissions, premature deaths, and unnecessary healthcare expenses. Despite of evidence-based efficacy on anti-failure drugs, poor adherence is pervasive and remains...

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Bibliographic Details
Published in:BMC research notes 2020-02, Vol.13 (1), p.89-89, Article 89
Main Authors: Pallangyo, Pedro, Millinga, Jalack, Bhalia, Smita, Mkojera, Zabella, Misidai, Nsajigwa, Swai, Happiness J, Hemed, Naairah R, Kaijage, Alice, Janabi, Mohamed
Format: Article
Language:English
Subjects:
Antihypertensive agents
Blood pressure
Cardiac patients
Cardiovascular disease
Care and treatment
Cohort analysis
Congestive heart failure
Diabetes
Drug adherence
Drugs
Enrollments
Forecasts and trends
Health insurance
Heart
Heart failure
Hypertension
Low adherence
Marital status
Medical prognosis
Medication adherence
Metropolitan areas
Mortality
Nonadherence
Patient compliance
Patient outcomes
Poor adherence
Population
Research Note
Studies
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Summary:Management of heart failure is complex and multifaceted but adherence to medications remains the cornerstone of preventing avoidable readmissions, premature deaths, and unnecessary healthcare expenses. Despite of evidence-based efficacy on anti-failure drugs, poor adherence is pervasive and remains a significant barrier to improving clinical outcomes in heart failure population. We enrolled 459 patients with diagnosis of heart failure admitted at a tertiary cardiovascular hospital in Dar es Salaam, Tanzania. The mean age was 46.4 years, there was a female predominance (56.5%), 67.5% resided in urban areas and 74.2% had primary education. Of the 419 participants eligible for assessment of medication adherence, 313 (74.7%) had poor adherence and 106 (25.3%) had good adherence. Possession of a health insurance was found to be the strongest associated factor for adherence (adjusted OR 8.7, 95% CI 4.7-16.0, p 
ISSN:1756-0500
1756-0500
DOI:10.1186/s13104-020-04959-w