Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre

Introduction: Sodium-glucose co-transporter 2 inhibitors were initially used in the treatment of type 2 diabetes mellitus and subsequently, it was shown to be useful in heart failure among patients with or without diabetes mellitus. This study aimed to find out the prevalence of empagliflozin use a...

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Main Authors: Rinku Ghimire, Sinet Pokharel, Raju Jayshwal, Rupesh Kumar Shreewastav
Format: Article
Language:English
Published: Nepal Medical Association 2023-10-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:https://jnma.com.np/jnma/index.php/jnma/article/view/8288
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author Rinku Ghimire
Sinet Pokharel
Raju Jayshwal
Rupesh Kumar Shreewastav
author_facet Rinku Ghimire
Sinet Pokharel
Raju Jayshwal
Rupesh Kumar Shreewastav
author_sort Rinku Ghimire
collection DOAJ
description Introduction: Sodium-glucose co-transporter 2 inhibitors were initially used in the treatment of type 2 diabetes mellitus and subsequently, it was shown to be useful in heart failure among patients with or without diabetes mellitus. This study aimed to find out the prevalence of empagliflozin use among patients with heart failure in an outpatient department of medicine in a Tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with heart failure attending the outpatient Department of Internal Medicine from 1 December 2022 to 30 May 2023 after obtaining ethical approval from the Institutional Review Committee. All patients with heart failure in the given study period were included. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 550 patients, 188 (34.18%) (30.22-38.15, 95% Confidence Interval) received empagliflozin. The mean age was 55.11±9.99 years. A total of 124 (65.95%) were male. The mean duration of use was 104.97±63.16 days. Among the adverse effects, electrolyte imbalance was present in 14 (7.44%), hypotension in 14 (7.44%), and acute kidney injury in 12 (6.38%). Conclusions: The prevalence of empagliflozin use among patients with heart failure was found to be lower than mentioned in the guidelines.
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spelling doaj.art-9daa4b51efc74f8495785b6f2af1b0172023-10-09T05:03:42ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-10-016126610.31729/jnma.8288Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care CentreRinku Ghimire0Sinet Pokharel1Raju Jayshwal2Rupesh Kumar Shreewastav3Department of Pharmacology, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, NepalDepartment of Internal Medicine, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, NepalDepartment of Internal Medicine, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, NepalDepartment of Biochemistry, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, Nepal Introduction: Sodium-glucose co-transporter 2 inhibitors were initially used in the treatment of type 2 diabetes mellitus and subsequently, it was shown to be useful in heart failure among patients with or without diabetes mellitus. This study aimed to find out the prevalence of empagliflozin use among patients with heart failure in an outpatient department of medicine in a Tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with heart failure attending the outpatient Department of Internal Medicine from 1 December 2022 to 30 May 2023 after obtaining ethical approval from the Institutional Review Committee. All patients with heart failure in the given study period were included. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 550 patients, 188 (34.18%) (30.22-38.15, 95% Confidence Interval) received empagliflozin. The mean age was 55.11±9.99 years. A total of 124 (65.95%) were male. The mean duration of use was 104.97±63.16 days. Among the adverse effects, electrolyte imbalance was present in 14 (7.44%), hypotension in 14 (7.44%), and acute kidney injury in 12 (6.38%). Conclusions: The prevalence of empagliflozin use among patients with heart failure was found to be lower than mentioned in the guidelines. https://jnma.com.np/jnma/index.php/jnma/article/view/8288heart failureoutpatient carepatient safetySGLT-2 inhibitors
spellingShingle Rinku Ghimire
Sinet Pokharel
Raju Jayshwal
Rupesh Kumar Shreewastav
Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
Journal of Nepal Medical Association
heart failure
outpatient care
patient safety
SGLT-2 inhibitors
title Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
title_full Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
title_fullStr Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
title_full_unstemmed Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
title_short Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
title_sort empagliflozin use among patients with heart failure in the outpatient department of medicine in a tertiary care centre
topic heart failure
outpatient care
patient safety
SGLT-2 inhibitors
url https://jnma.com.np/jnma/index.php/jnma/article/view/8288
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