Research articles

ScienceAsia 48 (2022): 113-116 |doi: 10.2306/ scienceasia113-116.2022.SE026

Retrospective analysis of ambulatory management of patients with chronic heart failure

Irina Rubenovna Agababyana*, Yulduz Abduvokhidovna Ismoilovaa, Zarrina Khikmatullayevna Yarashevaa, Nafisa Mamasoliyevna Djabbarovaa, Rajabboy Makhmayusuf ugli Ismoilova

 
ABSTRACT:     To establish the possibility of strictly monitoring CHF patients after inpatient treatment and to determine the effectiveness of their observation in a polyclinic at the place of residence using the example of two districts of the Samarkand region. The patients were divided into 2 groups. The first group consisted of patients with CHF belonging to the 1st family polyclinic of the city of Samarkand, the 2nd group consisted of CHF patients of the district of the Samarkand region. The study included 289 patients with CHF in the 1st group and 728 patients in the 2nd group, who, after discharge, were on outpatient observation at the place of registration in 1 family polyclinic in Samarkand. Currently, patients with CHF in the city of Samarkand and the Ishtykhan region are practically not actively observed by doctors at the outpatient clinics at their place of residence. Doctors did not go to house-to-door rounds, did not actively call-in patients, and patients had to call an ambulance if their condition worsened. Hence the high mortality rate of patients with chronic heart failure: in the Samarkand polyclinic - 271, in the Ishtykhan district - 572 in 2020.

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a Samarkand State Medical University, Samarkand, Uzbekistan

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Received 23 Jan 2021, Accepted 25 May 2022