Factors influencing prescribing by critical care physicians to heart failure patients in Egypt: a cross-sectional survey

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Additional file 1: Survey instrument
El Hadidi, Seif
Bazan, Naglaa Samir
Byrne, Stephen
Darweesh, Ebtissam
Bermingham, Margaret
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Background: Heart failure (HF) guideline-led prescribing improves patient outcomes; however, little is known about the factors influencing guideline-led prescribing in critical care settings. This study used a cross-sectional survey to assess the factors that influence physicians when prescribing to heart failure patients in a critical care setting in Egypt. Results: The response rate was 54.8%. The international HF guidelines were the primary source of prescribing information for 84.2% of respondents. Staff were more familiar with the latest guideline recommendations than associate staff (86.7% vs 36.8%, p = 0.012) and considered patientâ s perspectives more often (86.7% vs 26.3%, p = 0.036). Renal function was the clinical factor that most frequently influenced the prescribing of loop diuretics or reninâ angiotensinâ aldosterone system inhibitors. Pulmonary function influenced beta-blockers prescription. The most frequently cited barrier to guideline-led prescribing was the absence of locally drafted guidelines. A majority of prescribers agreed that implementation of clinical pharmacy services, physician education and electronic reminders may improve the implementation of guideline-led prescribing. Conclusions: Although experienced physicians are familiar with and use international guidelines, physicians would welcome local guidance on HF prescribing and greater clinical pharmacist input.
Heart failure , Critical care , Guideline-directed medical therapy Pharmacist , Egypt
El Hadidi, S., Bazan, N. S., Byrne, S., Darweesh, E. and Bermingham, M. (2022) 'Factors influencing prescribing by critical care physicians to heart failure patients in Egypt: a cross-sectional survey', Future Journal of Pharmaceutical Sciences, 8(40), pp. 1-9. doi: 10.1186/s43094-022-00429-1
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