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

dc.contributor.authorEl Hadidi, Seif
dc.contributor.authorBazan, Naglaa Samir
dc.contributor.authorByrne, Stephen
dc.contributor.authorDarweesh, Ebtissam
dc.contributor.authorBermingham, Margaret
dc.contributor.funderUniversity College Corken
dc.contributor.funderFuture University, Egypten
dc.date.accessioned2022-10-07T12:35:16Z
dc.date.available2022-10-07T12:35:16Z
dc.date.issued2022-09-30
dc.date.updated2022-10-07T12:22:30Z
dc.description.abstractBackground: 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.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationEl 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/s43094-022-00429-1en
dc.identifier.doi10.1186/s43094-022-00429-1en
dc.identifier.eissn2314-7253
dc.identifier.endpage9en
dc.identifier.issued40en
dc.identifier.journaltitleFuture Journal of Pharmaceutical Sciencesen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/13758
dc.identifier.volume8en
dc.language.isoenen
dc.publisherBioMed Central Ltden
dc.rights© 2022, the Authors. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectHeart failureen
dc.subjectCritical careen
dc.subjectGuideline-directed medical therapy Pharmacisten
dc.subjectEgypten
dc.titleFactors influencing prescribing by critical care physicians to heart failure patients in Egypt: a cross-sectional surveyen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 2 of 2
Loading...
Thumbnail Image
Name:
s43094-022-00429-1_(1).pdf
Size:
1.16 MB
Format:
Adobe Portable Document Format
Description:
Published Version
Loading...
Thumbnail Image
Name:
43094_2022_429_MOESM1_ESM.pdf
Size:
374.8 KB
Format:
Adobe Portable Document Format
Description:
Additional file 1: Survey instrument
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description: