Saiful Anwar Hospital Heart Failure Registry (SAHEFAR) : A Valuable Tool for Improving the Management of Patients with Heart Failure in Malang, East Java Anita Surya Santoso 1,2 , Krishna Ari Nugraha 1,2 , M Rizki Fadlan 1,2 , Dea Arie Kurniawan 1,2 , Liemena Harold Adrian 1,2 , Faris Wahyu Nugroho 1,2 , Puspa Lestari 1,2 , Seprian Widasmara 1,2 and Mohammad Saifur Rohman 1,2 1 Department of Cardiology and Vascular Medicine, Faculty of Medicine, Brawijaya University – Dr. Saiful Anwar General Hospital, Malang, East Java, Indonesia 2 Brawijaya Cardiovascular Research Center, Brawijaya University, Malang, East Java, Indonesia fariswahyunugroho, pusparyath, seprian.w}@gmail.com, ippoenk@yahoo.com Keywords: Heart Failure, Malang Registry Abstract: The incidence of heart failure (HF) in Malang has been increasing. Thus, a registry is required to accommodate better comprehension of HF patients, particularly in Malang. To examine this demographic, clinical and biological baseline characteristics and outcomes of hospitalised patients with HF are tracked by creating the Saiful Anwar Hospital Heart Failure Registry (SAHEFAR) as a manual for continually improving quality of care. This is a single-centre, retrospective cohort study. We included patients with diagnosed HF based on 2016 ESC HF criteria. The patients were assessed and their symptoms, physical examination, laboratory results, electrocardiography, echocardiography, prior medical and in-hospital treatment were recorded. We followed up with the patient from initial hospital admission until discharge. The outcome and all-cause mortality were recorded. The total patient data collected from January 2016 to August 2019 was 1208. Male predominance was seen (58.1%). The most common precipitating factor of admission for HF was coronary artery disease (60.1%), with the classification NYHA class III –IV (44.5%). The number of patients receiving optimal medication was 63%. In-hospital for all-cause mortality was 19.5%. SAHEFAR can be a valuable tool for therapeutic approaches undertaken in daily practice and may improve the outcomes of HF patients in a more specific setting, particularly in Malang. 1. BACKGROUND Heart failure (HF) is a one of the major public health problem worldwide. HF has emerged as a major global health issue, with an estimated worldwide prevalence of more than 37.7 million. The burden is rapidly increasing, and it is projected that by 2030, the number of HF patients will increase by 25% (Bacal et al., 2015). HF is a disease with a high mortality rate; average survival is five years with marked impairment in the quality of life, making this disease the central focus of these patients’ lives. Approximately 80% require at least one hospitalisation due to decompensation, which represents a negative breaking point in patient evolution (Chioncel et al., 2015). Epidemiological data on HF is missing in many countries because of the absence of relevant observational studies to capture the incidence, prevalence, prognosis and main causes of HF (Fairman et al., 2017). Proper understanding of the epidemiology and the clinical characteristics of HF in a specific population is critical for improving prognosis. Randomised clinical trials bring important epidemiological information, but generalisation and applicability are limited by the strict inclusion and exclusion criteria (Laotavom et al., 2010). Even though registries do not have such limitations and likely reflect the global population with HF in a certain geographical area, there are significant differences at both the continental and regional levels in regard to the severity, aetiology and management for HF (Savarese et al., 2019). 42 Santoso, A., Nugraha, K., Fadlan, M., Kurniawan, D., Adrian, L., Nugroho, F., Lestari, P., Widasmara, S. and Rohman, M. Saiful Anwar Hospital Heart Failure Registry (SAHEFAR): A Valuable Tool for Improving the Management of Patients with Heart Failure in Malang, East Java. DOI: 10.5220/0009388400420047 In Proceedings of the 4th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute (The 4th ICE on IMERI 2019), pages 42-47 ISBN: 978-989-758-433-6 Copyright c  2020 by SCITEPRESS – Science and Technology Publications, Lda. All rights reserved