Heart failure among Indigenous Australians: a systematic review

摘要: Cardiovascular diseases contribute substantially to the poor health and reduced life expectancy of Indigenous Australians. Heart failure is a common, disabling, progressive costly complication these disorders. The epidemiology heart adequacy relevant service provision in Australians are not well delineated. A systematic search electronic databases PubMed, Embase, Web Science, Cinahl Plus, Informit Google Scholar was undertaken April 2012 for peer-reviewed journal articles topic Additionally, website done identify other pertinent publications, particularly government reports. There paucity research, reports dominated results. Ten articles, 1 published conference abstract 10 were eligible inclusion. reportedly have higher morbidity mortality from than their non-Indigenous counterparts (age-standardised prevalence ratio 1.7; age-standardised hospital separation ≥3; crude per capita expenditure 1.58; age-adjusted >2). Despite evident disproportionate burden Australians, accuracy estimation administrative data limited by indigenous identification, inadequate case ascertainment exclusion younger subjects statistics. recent article specifically documented high Central Australian Aboriginal adults (5.3%), noting frequent undiagnosed disease. One study examined barriers context failure. shortcomings available data, it clear that an excess Emerging suggest cases may be common this population. In order optimise management inform policy, quality research on required delineate accurate epidemiological indicators appraise provision.