A survey on knowledge of recommended heart failure guidelines among Chinese physicians / 中华心血管病杂志

<p><b>OBJECTIVE</b>To obtain the knowledge status on recommended heart failure (HF) guidelines among Chinese physicians.</p><p><b>METHODS</b>Questionnaire on heart failure including 20 multiple choice questions and 10 fill in the blank questions was designed based on the Chinese guidelines for the diagnosis and treatment of chronic heart failure in 2007 and the Chinese guidelines for the diagnosis and treatment of acute heart failure in 2010. The rate of correct answer for each item was calculated and compared among physicians specialized for cardiovascular diseases and not.</p><p><b>RESULTS</b>The Questionnaire was completed in 400 physicians, including 208 physician specialized for cardiovascular disease and 192 physicians not specialized in cardiovascular disease. The rate of correct answer for 20 multiple choice questions was lower than 60% in 8 questions, 60%-80% in 8 questions, higher than 80% in 4 questions. The rate of correct answers for 10 fill in the blank questions focusing on the aimed dosage of 10 ACEI/ARB/β-blockers was 49%. The 8 multiple choice questions with correct answer rate <60% are detailed items of myocardial remodeling, symptoms suggestive of HF, diagnosis tools for patients with suspected HF, the AHA stages of heart failure, the Forrester's hemodynamic classes of acute heart failure, the goals of ACEI/ARBs treatment in patients with HF, names of heart diseases which might benefit from ACEI/ARBs treatment defined by evidenced based medicine, and detailed application methods of ACEI/ARBs and β-blockers for HF patients. In general, the rate of correct answer was significantly higher in physicians specialized for cardiovascular disease compared physicians not specialized for cardiovascular disease.</p><p><b>CONCLUSION</b>There is a considerable knowledge gap on the Chinese guidelines for the diagnosis and treatment of chronic heart failure and the Chinese guidelines for the diagnosis and treatment of acute heart failure among Chinese physicians. Efforts must be made to educate physicians to improve their knowledge and improve HF patient care.</p>

Analysis of traumatic occupational fatalities in China.

BACKGROUND: A descriptive epidemiologic analysis of the characteristics of workplace-based multiple fatality incidents in China can contribute to a scientific basis for the prevention and control of such fatal incidents as well for as the facilitation of medical assistance during these episodes. METHODS: We used data on workplace-based multiple fatality incidents spanning January 1, 2001-December 31, 2008 as collected by the National Work Safety Administration of China to analyze event frequency, type, number of deaths, mortality rate (per million persons), and regional distribution. RESULTS: A total of 17,277 workplace-based multiple fatality incidents were reported between 2001 and 2008, which were associated with 62,850 deaths and 30,418 injuries. The most common types or settings associated with workplace-based multiple fatality incidents were road traffic accidents (>3 deaths only; total 23,464 deaths), coal mine explosions (23,418 deaths), and incidents involving shipping (3,978 deaths). CONCLUSION: The risk for workplace-based multiple fatality incidents in China is one of the highest in the world. Prevention is critical and should be strengthened. Our results may provide useful information help to improve prevention and control measures.