title: COnteMporary Modalities In Treatment of Heart Failure: a report from the COMMIT-HF registry.
abstract: OBJECTIVE
  Heart failure (HF) has become a global health problem and is a significant burden for health-care systems worldwide. It is reported as the reason for 1-4% of all hospital admissions in developed countries. The prognosis in HF remains unfavourable. Having at our disposal a large group of patients with systolic HF at a high-volume reference cardiovascular centre with the possibility to implement complete diagnostics and therapy we decided to analyse the clinical data, administered therapies, and prognosis in HF patients.
  
  
  METHODS
  The COMMIT-HF is a single-centre observational study that is underway in the Third Chair and Department of Cardiology of the Silesian Centre for Heart Diseases in Zabrze. The study population is a cohort of adult HF patients with left ventricular ejection fraction (LVEF) ≤ 35%. Patients with acute coronary syndromes are excluded from the analysis. Complete patient demographics: medical history, hospitalisation data (diagnostic and therapeutic), and in-hospital results are collected. Twelve-month follow-up is based on the information acquired from the national health-care provider.
  
  
  RESULTS
  As of 31 December 2013 a group of 1798 patients have been enrolled (mean age 60.9 ± 12.8 years, 20.3% of subjects female, mean LVEF 26.06 ± 6.09, ischaemic aetiology 64.5%, atrial fibrillation 33.2%, diabetes mellitus 41.2%, chronic kidney disease stage ≥ III 29%). A significant proportion of patients underwent invasive procedures (ICD/CRT-D implantation 61.1%, coronary angiography 56.2%, PCI 19.6%, CABG 5.1%, heart transplantation qualification 5.5%, IABP 2.5%). All-cause 12-month morality was 12.5%. HF-related rehospitalisation rate was 28.9%.
  
  
  CONCLUSIONS
  The COMMIT-HF study will provide valuable information on the HF patient population. Initial analyses show that in this difficult patient population satisfactory long-term results can be achieved.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Gąsior
authors.affiliation: 3rd Department of Cardiology, SMDZ in Zabrze, Medical University of Silesia, Katowice, Poland. wookash.p@gmail.com.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Pyka
authors.forename: Jarosław
authors.initials: J
authors.lastname: Gorol
authors.forename: Michał
authors.initials: M
authors.lastname: Hawranek
authors.forename: Mateusz
authors.initials: M
authors.lastname: Tajstra
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Słonka
authors.forename: Anna
authors.initials: A
authors.lastname: Kurek
authors.forename: Adam
authors.initials: A
authors.lastname: Krajewski
authors.forename: Piotr
authors.initials: P
authors.lastname: Rozentryt
authors.forename: Marek
authors.initials: M
authors.lastname: Gierlotka
authors.forename: Andrzej
authors.initials: A
authors.lastname: Lekston
authors.forename: Marian
authors.initials: M
authors.lastname: Zembala
authors.forename: Lech
authors.initials: L
authors.lastname: Poloński
mesh_terms: D000368:Aged; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland; D011379:Prognosis; D011446:Prospective Studies; D012042:Registries
keywords: COMMIT-HF registry; demographics; heart failure; prognosis; study design; treatment