Predictors of early readmission or death in elderly patients with heart failure.

Details

Serval ID
serval:BIB_18B9DAFF14B4
Type
Article: article from journal or magazin.
Collection
Publications
Title
Predictors of early readmission or death in elderly patients with heart failure.
Journal
American heart journal
Author(s)
Muzzarelli S., Leibundgut G., Maeder M.T., Rickli H., Handschin R., Gutmann M., Jeker U., Buser P., Pfisterer M., Brunner-La Rocca H.P.
Working group(s)
TIME-CHF Investigators
ISSN
1097-6744 (Electronic)
ISSN-L
0002-8703
Publication state
Published
Issued date
08/2010
Peer-reviewed
Oui
Volume
160
Number
2
Pages
308-314
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Contemporary heart failure (HF) patients are elderly and have a high rate of early rehospitalization or death, resulting in a high burden for both the patients and the health care system. Prior studies were focused on younger and less well-characterized patients. We aimed to identify predictors of early hospital readmission and death in elderly patients with HF.
Patients with chronic HF taking part in the TIME-CHF study (n = 614, age 77 +/- 8 years, 41% female, left ventricular ejection fraction 35% +/- 13%) were evaluated with respect to predictors of hospital readmission or death 30 and 90 days after inclusion. Demographic, clinical, laboratory, echocardiographic, and social variables were obtained at baseline and included in a multivariable logistic regression analysis to identify predictors of early events.
The rate of hospital readmission or death was high at 30 (11%) and 90 days (26%). The reason for hospitalization was HF in 33%, other cardiovascular in 32%, and noncardiovascular in 45% of the cases, respectively. Predictors of readmission or death at 30 days were angina, lower systolic blood pressure, anemia, more extensive edema, higher creatinine levels, and dry cough; and at 90 days were coronary artery disease, prior pacemaker implantation, high jugular venous pressure, pulmonary rales, prior abdominal surgery, older age, and depressive symptoms.
Early hospital readmission or death was frequent among elderly HF patients. A very large proportion of readmissions were due to noncardiovascular causes. In addition to clinical signs of HF, comorbidities are important predictors of early events in elderly HF patients.
Keywords
Aged, Aged, 80 and over, Comorbidity, Female, Heart Failure/epidemiology, Heart Failure/mortality, Heart Failure/physiopathology, Humans, Male, Patient Readmission/statistics & numerical data, Stroke Volume
Pubmed
Web of science
Create date
15/11/2017 17:16
Last modification date
23/02/2024 15:08
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