Congestive heart failure is a major cause of mortality and morbidity in the elderly but the disease impact on the oldest and sickest population has not been defined.
To review the mortality and hospital readmission rate of institutionalized elderly persons with congestive heart failure and to examine the relation of baseline characteristics to subsequent clinical outcomes.
This was a retrospective analysis based on chart review of 231 residents of the Philadelphia (Pa) Geriatric Center (63 congregate housing tenants and 168 nursing home residents) 80 years and older, hospitalized with congestive heart failure from 1989 to 1995.
Patients'demographic data and clinical, electrocardiographic, and echocardiographic findings were obtained from their initial (index) hospitalization records.
Subsequent outcomes were obtained from their outpatient (nursing home or office) records.
Thirteen percent died during the index hospitalization but the total mortality during the follow-up period was 87%. One hundred forty-six patients (63%) died in the first year with a mean ± SD survival of 4 ± 4 months and a readmission rate of 3.9 per patient-year.
Eighty-five patients survived the first year with a readmission rate of 1.2 per patient-year and 54 patients subsequently died, with a mean ± SD survival of 28 ± 12 months.
The first-year decedents and survivors were comparable in sex, age, medical history, and electrocardiographic findings. (...)
Mots-clés Pascal : Insuffisance cardiaque, Exploration clinique, Prévalence, Mortalité, Morbidité, Personne âgée, Homme, Etablissement troisième âge, Hospitalisation, Etiopathogénie, Article synthèse, Etude longitudinale, Appareil circulatoire pathologie, Cardiopathie, Trés agé, Réhospitalisation
Mots-clés Pascal anglais : Heart failure, Clinical investigation, Prevalence, Mortality, Morbidity, Elderly, Human, Homes for the aged, Hospitalization, Etiopathogenesis, Review, Follow up study, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0048714
Code Inist : 002B12A01. Création : 31/05/1999.