Management and 1 year outcome of oldest-old hospitalized heart failure patients: a subacute geriatric hospital survey.
Isr Med Assoc J
; 12(8): 483-8, 2010 Aug.
Article
en En
| MEDLINE
| ID: mdl-21337817
ABSTRACT
BACKGROUND:
Guidelines are frequently under-implement in older patients with heart failure. Octogenerians are often excluded from clinical trials.OBJECTIVES:
To characterize the clinical profile of the oldest-old (age > or =80 years) heart failure patients hospitalized in a subacute geriatric hospital and to evaluate their management and 1 year outcome.METHODS:
Patient characteristics and in-hospital course were retrospectively collected. Diagnosis of heart failure was based mainly on clinical evaluation in addition to chest x-ray results and echocardiographic findings when available.RESULTS:
The study population comprised 96 consecutive unselected heart failure patients hospitalized from January to June 2003. The patients were predominantly women (67%), aged 85 +/- 5 years, fully dependent or frail with a high rate of comorbidities. Adherence to guidelines and useof recommended heart failure medications were poor. Their 1 year mortality was 57%. According to logistic regression analysis the predictor of lower 1 year mortality was higher body mass index (odds ratio 0.86, 95% confidence interval 0.78-0.96), and the predictor of higher 1 year mortality was high urea levels (OR 1.04, 95% CI 1.02-1.06).CONCLUSIONS:
Our study confirms that the managementof oldest-old heart failure patients hospitalized in a subactute geriatric hospital was suboptimal and their mortality was exceptionally high.
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Bases de datos:
MEDLINE
Asunto principal:
Evaluación Geriátrica
/
Insuficiencia Cardíaca
/
Pacientes Internos
Tipo de estudio:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Isr Med Assoc J
Asunto de la revista:
MEDICINA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Israel