title: [Compliance to treatment in heart failure patients in Lomé].
abstract: BACKGROUND
  The incidence and prevalence rates of the heart failure in the world approach epidemic proportions. The evaluation of the follow-up of the treatment of heart failure can allow the setting up of strategies to reduce the frequency of decompensations and improve the quality of life of these patients.
  
  
  OBJECTIVE
  To estimate the compliance to treatment and factors liable to influence it in Togolese patients suffering from heart failure.
  
  
  METHODS
  This study was carried out from January 1st, 2008 to June 30th, 2009 in the department of cardiology of the university teaching hospital Campus in Lomé and included prospectively, patients with chronic heart failure hospitalized for acute decompensation and of which the heart failure was diagnosed and treated for at least 3 months. Questionnaires were filled to estimate the compliance to medication, to diet, as well as knowledge of the patients on their disease and their relationship with their doctor and their family.
  
  
  RESULTS
  In the 103 patients included, we noticed no good compliance to medication; there were 74.7% of bad compliance to medication, 47.3% of good compliance to diet; 62.1% of patients had enough knowledge on their disease, 29.1% considered that their doctor did not grant them enough time; 57.3% estimated to have no necessary support of their family. Bad compliance to treatment was correlated to the existence or not of a health care insurance (OR=115.5; 95% CI=21.51-620.08; P<0.0001); this difference persisted after adjusting for age, sex and monthly income (OR=99.65; 95% CI=18.87-587.21; P=0.001). Bad compliance was not associated with monthly income (OR=0.93; 95% CI=0.37-2.28; P=0.944); it was neither influenced by traditional therapy (OR=1.58 95% CI=0.64-3.91; P=0.43), nor recovery prayers (OR=1.6; 95% CI=0.62-4.13; P=0.45), nor frequency of tablets intake (≥3 intake day), OR=0.169; 95% CI=0.05-0.49; P=0.43.
  
  
  CONCLUSIONS
  The compliance to medication in Togolese heart failure patients was very low and essentially correlated to the absence of health care insurance.
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Campus de Lomé, 03 BP 30284 Lomé, Togo. kthierry2@yahoo.fr
authors.forename: K
authors.initials: K
authors.lastname: Yayehd
authors.forename: F
authors.initials: F
authors.lastname: Damorou
authors.forename: M P
authors.initials: MP
authors.lastname: N'cho Mottoh
authors.forename: T
authors.initials: T
authors.lastname: Tchérou
authors.forename: A
authors.initials: A
authors.lastname: Johnson
authors.forename: S
authors.initials: S
authors.lastname: Pessinaba
authors.forename: Y
authors.initials: Y
authors.lastname: Tété
authors.forename: A M
authors.initials: AM
authors.lastname: Diziwiè
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy*; D006785:Hospitals, University; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D008297:Male; D055118:Medication Adherence / Q000208:ethnology; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology*; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011203:Poverty; D011446:Prospective Studies; D012944:Social Support; D013223:Statistics as Topic; D011795:Surveys and Questionnaires; D014037:Togo