Rationale, design, methodology and hospital characteristics of the first gulf acute heart failure registry (gulf care)
Kadhim J Sulaiman1, Prashanth Panduranga1, Ibrahim Al-Zakwani2, Alawi Alsheikh-Ali3, Khalid Al-Habib4, Jassim Al-Suwaidi5, Wael Al-Mahmeed3, Husam Al-Faleh6, Abdelfatah El-Asfar7, Ahmed Al-Motarreb8, Mustafa Ridha9, Bassam Bulbanat10, Mohammed Al-Jarallah10, Nooshin Bazargani11, Nidal Asaad5, Haitham Amin12
1 Department of Cardiology, Royal Hospital, Muscat, Oman
2 Department of Pharmacology and Clinical Pharmacy, Sultan Qaboos University and Gulf Health Research, Muscat, Oman
3 Department of Cardiology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
4 Department of Cardiology, King Fahad Cardiac Centre, King Khalid University Hospital, College of Medicine, Riyadh, Saudi Arabia
5 Hamad General Hospital, Doha, Qatar
6 Department of Cardiology and Cardiovascular Surgery, Security Forces Hospital, Riyadh, Saudi Arabia
7 Department of Cardiology, Prince Salman Cardiac Center, Saudi Arabia
8 Department of Medicine, Sana'a University, Sana'a, Yemen
9 Department of Cardiology, Adan Hospital, Kuwait
10 Department of Cardiology, Al-Amiri Hospital, Saudi Arabia
11 Department of Cardiology, Dubai Hospital, Dubai, United Arab Emirates
12 Department of Cardiology, Mohammed Bin Khalifa Cardiac Centre, Bahrain
Kadhim J Sulaiman
Department of Cardiology, Royal Hospital, PB 1331, Muscat-111
Source of Support: None, Conflict of Interest: None
Background: There is paucity of data on heart failure (HF) in the Gulf Middle East. The present paper describes the rationale, design, methodology and hospital characteristics of the first Gulf acute heart failure registry (Gulf CARE).
Materials and Methods: Gulf CARE is a prospective, multicenter, multinational registry of patients >18 year of age admitted with diagnosis of acute HF (AHF). The data collected included demographics, clinical characteristics, etiology, precipitating factors, management and outcomes of patients admitted with AHF. In addition, data about hospital readmission rates, procedures and mortality at 3 months and 1-year follow-up were recorded. Hospital characteristics and care provider details were collected. Data were entered in a dedicated website using an electronic case record form.
Results: A total of 5005 consecutive patients were enrolled from February 14, 2012 to November 13, 2012. Forty-seven hospitals in 7 Gulf States (Oman, Saudi Arabia, Yemen, Kuwait, United Gulf Emirates, Qatar and Bahrain) participated in the project. The majority of hospitals were community hospitals (46%; 22/47) followed by non-University teaching (32%; 15/47 and University hospitals (17%). Most of the hospitals had intensive or coronary care unit facilities (93%; 44/47) with 59% (28/47) having catheterization laboratory facilities. However, only 29% (14/47) had a dedicated HF clinic facility. Most patients (71%) were cared for by a cardiologist.
Conclusions: Gulf CARE is the first prospective registry of AHF in the Middle East, intending to provide a unique insight into the demographics, etiology, management and outcomes of AHF in the Middle East. HF management in the Middle East is predominantly provided by cardiologists. The data obtained from this registry will help the local clinicians to identify the deficiencies in HF management as well as provide a platform to implement evidence based preventive and treatment strategies to reduce the burden of HF in this region.