About the RICA registry in patients with heart failure
We have read with great interest the article of Filippatos et al.1 about the rational and design of a new registry in heart failure, called International Registry to asses medical Practice with longitudinal observation for treatment of heart failure (REPORT-HF). In this article, authors cite several national and international registries, emphasizing the limitations of these previous observational studies and justifying the need of a new registry that collects information regarding long-term disease progression, including transition from acute to chronic situation. We would like to comment about another national registry conducted in Spain, similar to REPORT-HF, coordinated by the Working Group of Heart Failure of the Spanish Society of Internal Medicine RICA registry is a multicentre, prospective, cohort study of patients hospitalized for heart failure, that explores patient clinical characteristics, treatment and outcome over 1 year follow-up after discharge. From March 2008 until April 2015, 4200 patients were enrolled from 52 centres. Our registry has different characteristics from other registries, including a cohort that closely represent the real world: patients are elderly (78 years old), mainly women (53%), with a high prevalence of comorbidities
(diabetes 47%, chronic pulmonary disease 27%, atrial fibrillation 54%, peripheral arterial disease 14%) and with a mean baseline left ventricular ejection fraction of 51%.2 On the basis of RICA data, we have published articles concerning different topics as mortality, rehospitalizations, prognosis and treatment, that in our opinion provide relevant insights about heart failure in the real world.3 – 6
Funding
.............................................................................................................................
doi:10.1002/ejhf.307 Online publish-ahead-of-print 24 June 2015
.............................................................................................................................
LETTER TO THE EDITOR
Registry RICA has received unrestricted educational grant from Menarini SA (Spain). Conflict of interest: none declared.
References
1. Filippatos G, Khan SS, Ambrosy AP, Cleland JG, Collins SP, Lam CS, Angermann CE, Ertl G, Dahlström U, Hu D, Dickstein K, Perrone SV, Ghadanfar M, Bermann G, Noe A, Schweizer A, Maier T, Gheorghiade M. International REgistry to assess medical Practice with lOngitudinal observation for Treatment of Heart Failure (REPORT-HF): rationale for and design of a global registry. Eur J Heart Fail 2015;17:527–533. 2. Montero-Perez-Barquero M, Manzano L, Formiga F, Roughton M, Coats A, Rodríguez-Artalejo F, Diez-Manglano J, Bettencourt P, Llacer P, Flather M; RICA investigators. Utility of the SENIORS elderly heart failure risk model applied to the RICA registry of acute heart failure. Int J Cardiol 2015;182: 449–453. 3. Pérez-Calvo JI, Montero-Pérez-Barquero M, Camafort-Babkowski M, Conthe-Gutiérrez P, Formiga F, Aramburu-Bodas O, Romero-Requena JM; RICA Investigators. Influence of admission blood pressure on mortality in patients with acute decompensated heart failure. Quart J Med 2011;104:325–333.
4. Casado J, Montero M, Formiga F, Carrera M, Urrutia A, Arévalo JC, Pérez-Calvo JI; RICA Investigators. Clinical characteristics and prognostic influence of renal dysfunction in heart failure patients with preserved ejection fraction. Eur J Intern Med 2013;24:677–683. 5. Trullàs JC, Formiga F, Montero M, Carrera-Izquierdo M, Grau-Amorós J, Chivite-Guillén D, Manzano L; RICA Investigators. Impact of weight loss on mortality in chronic heart failure: findings from the RICA Registry. Int J Cardiol 2013;168:306–311. 6. Formiga F, Chivite D, Conde A, Ruiz-Laiglesia F, Franco AG, Bocanegra CP, Manzano L, MonteroPérez-Barquero M; RICA Investigators. Basal functional status predicts three-month mortality after a heart failure hospitalization in elderly patients – the prospective RICA study. Int J Cardiol 2014;172: 127–131.
Manuel Montero-Perez-Barquero Department of Internal Medicine IMIBIC/Hospital Reina Sofia University of Córdoba Spain Tel: 957011543 FAX 957011562. E-mail: [email protected] Francesc Formiga Geriatric Unit Internal Medicine Service IDIBELL University Hospital of Bellvitge L’Hospitalet de Llobregat Barcelona Luis Manzano Heart Failure and Vascular Risk Unit Internal Medicine Department Ramón y Cajal University Hospital University of Alcalá Madrid Spain
© 2015 The Authors European Journal of Heart Failure © 2015 European Society of Cardiology
We have read with great interest the article of Filippatos et al.1 about the rational and design of a new registry in heart failure, called International Registry to asses medical Practice with longitudinal observation for treatment of heart failure (REPORT-HF). In this article, authors cite several national and international registries, emphasizing the limitations of these previous observational studies and justifying the need of a new registry that collects information regarding long-term disease progression, including transition from acute to chronic situation. We would like to comment about another national registry conducted in Spain, similar to REPORT-HF, coordinated by the Working Group of Heart Failure of the Spanish Society of Internal Medicine RICA registry is a multicentre, prospective, cohort study of patients hospitalized for heart failure, that explores patient clinical characteristics, treatment and outcome over 1 year follow-up after discharge. From March 2008 until April 2015, 4200 patients were enrolled from 52 centres. Our registry has different characteristics from other registries, including a cohort that closely represent the real world: patients are elderly (78 years old), mainly women (53%), with a high prevalence of comorbidities
(diabetes 47%, chronic pulmonary disease 27%, atrial fibrillation 54%, peripheral arterial disease 14%) and with a mean baseline left ventricular ejection fraction of 51%.2 On the basis of RICA data, we have published articles concerning different topics as mortality, rehospitalizations, prognosis and treatment, that in our opinion provide relevant insights about heart failure in the real world.3 – 6
Funding
.............................................................................................................................
doi:10.1002/ejhf.307 Online publish-ahead-of-print 24 June 2015
.............................................................................................................................
LETTER TO THE EDITOR
Registry RICA has received unrestricted educational grant from Menarini SA (Spain). Conflict of interest: none declared.
References
1. Filippatos G, Khan SS, Ambrosy AP, Cleland JG, Collins SP, Lam CS, Angermann CE, Ertl G, Dahlström U, Hu D, Dickstein K, Perrone SV, Ghadanfar M, Bermann G, Noe A, Schweizer A, Maier T, Gheorghiade M. International REgistry to assess medical Practice with lOngitudinal observation for Treatment of Heart Failure (REPORT-HF): rationale for and design of a global registry. Eur J Heart Fail 2015;17:527–533. 2. Montero-Perez-Barquero M, Manzano L, Formiga F, Roughton M, Coats A, Rodríguez-Artalejo F, Diez-Manglano J, Bettencourt P, Llacer P, Flather M; RICA investigators. Utility of the SENIORS elderly heart failure risk model applied to the RICA registry of acute heart failure. Int J Cardiol 2015;182: 449–453. 3. Pérez-Calvo JI, Montero-Pérez-Barquero M, Camafort-Babkowski M, Conthe-Gutiérrez P, Formiga F, Aramburu-Bodas O, Romero-Requena JM; RICA Investigators. Influence of admission blood pressure on mortality in patients with acute decompensated heart failure. Quart J Med 2011;104:325–333.
4. Casado J, Montero M, Formiga F, Carrera M, Urrutia A, Arévalo JC, Pérez-Calvo JI; RICA Investigators. Clinical characteristics and prognostic influence of renal dysfunction in heart failure patients with preserved ejection fraction. Eur J Intern Med 2013;24:677–683. 5. Trullàs JC, Formiga F, Montero M, Carrera-Izquierdo M, Grau-Amorós J, Chivite-Guillén D, Manzano L; RICA Investigators. Impact of weight loss on mortality in chronic heart failure: findings from the RICA Registry. Int J Cardiol 2013;168:306–311. 6. Formiga F, Chivite D, Conde A, Ruiz-Laiglesia F, Franco AG, Bocanegra CP, Manzano L, MonteroPérez-Barquero M; RICA Investigators. Basal functional status predicts three-month mortality after a heart failure hospitalization in elderly patients – the prospective RICA study. Int J Cardiol 2014;172: 127–131.
Manuel Montero-Perez-Barquero Department of Internal Medicine IMIBIC/Hospital Reina Sofia University of Córdoba Spain Tel: 957011543 FAX 957011562. E-mail: [email protected] Francesc Formiga Geriatric Unit Internal Medicine Service IDIBELL University Hospital of Bellvitge L’Hospitalet de Llobregat Barcelona Luis Manzano Heart Failure and Vascular Risk Unit Internal Medicine Department Ramón y Cajal University Hospital University of Alcalá Madrid Spain
© 2015 The Authors European Journal of Heart Failure © 2015 European Society of Cardiology
