One-year follow-up of heart failure patients after their first admission

被引:23
作者
Formiga, F [1 ]
Chivite, D
Manito, N
Osma, V
Miravet, S
Pujol, R
机构
[1] Hosp Univ Bellvitge Princeps Espanya, Internal Med Serv, Geriatr Unit, Barcelona 08907, Spain
[2] Hosp Univ Bellvitge Princeps Espanya, Serv Cardiol, Barcelona 08907, Spain
关键词
D O I
10.1093/qjmed/hch018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Outcomes related to heart failure remain relatively poor. Aim: To examine the clinical course of patients for one year after their first admission because of heart failure, including prognosis, mortality, and rehospitalization. Design: Prospective observational study. Methods: Of 121 patients hospitalized over 6 months for decompensation of previously unknown heart failure, we excluded those with a possible previous diagnosis of heart failure (n = 5), who suffered from another serious disease with a poor prognosis (n = 6), died during the index hospitalization (n = 5), refused to participate (n = 4) or were lost to follow-up (n = 6). Mortality and readmissions were identified by prospective follow-up of all patients. Results: Of the 98 patients evaluated, half (49) were women. Mean +/- SD age was 75.2 +/- 12 years. The 1-year case-fatality rate after the first admission was 24%; 19% of the deaths were heart failure-related, with progressive pump failure the predominant cause (14% of the total). Age was the only factor associated with increased mortality (p < 0.007). Of the 74 survivors, 32% experienced at least one hospital readmission during follow-up. Discussion: The prognosis of unselected new cases of heart failure after their first hospitalization remains relatively poor, despite recent advances in pharmacological therapy and medical care.
引用
收藏
页码:81 / 86
页数:6
相关论文
共 30 条
[1]   SPECTRUM AND OUTCOME OF CONGESTIVE-HEART-FAILURE IN A HOSPITALIZED POPULATION [J].
ANDERSSON, B ;
WAAGSTEIN, F .
AMERICAN HEART JOURNAL, 1993, 126 (03) :632-640
[2]   Outcomes of chronic heart failure [J].
Benatar, D ;
Bondmass, M ;
Ghitelman, J ;
Avitall, B .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (03) :347-352
[3]   ESTIMATING CLINICAL MORBIDITY DUE TO ISCHEMIC-HEART-DISEASE AND CONGESTIVE-HEART-FAILURE - THE FUTURE RISE OF HEART-FAILURE [J].
BONNEUX, L ;
BARENDREGT, JJ ;
MEETER, K ;
BONSEL, GJ ;
van der Maas, PJ .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (01) :20-28
[4]  
CHARLSON ME, 1987, J CHRON DIS, V40, P378
[5]   Survival of patients with a new diagnosis of heart failure: a population based study [J].
Cowie, MR ;
Wood, DA ;
Coats, AJS ;
Thompson, SG ;
Suresh, V ;
Poole-Wilson, PA ;
Sutton, GC .
HEART, 2000, 83 (05) :505-510
[6]   Hospitalization of patients with heart failure - A population-based study [J].
Cowie, MR ;
Fox, KF ;
Wood, DA ;
Metcalfe, C ;
Thompson, SG ;
Coats, AJS ;
Poole-Wilson, PA ;
Sutton, GC .
EUROPEAN HEART JOURNAL, 2002, 23 (11) :877-885
[7]   Incidence and aetiology of heart failure - A population-based study [J].
Cowie, MR ;
Wood, DA ;
Coats, AJS ;
Thompson, SG ;
Poole-Wilson, PA ;
Suresh, V ;
Sutton, GC .
EUROPEAN HEART JOURNAL, 1999, 20 (06) :421-428
[8]   Outcome of congestive heart failure in elderly persons: Influence of left ventricular systolic function - The cardiovascular health study [J].
Gottdiener, JS ;
McClelland, RL ;
Marshall, R ;
Shemanski, L ;
Furberg, CD ;
Kitzman, DW ;
Cushman, M ;
Polak, J ;
Gardin, JM ;
Gersh, BJ ;
Aurigemma, GP ;
Manolio, TA .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (08) :631-639
[9]   Hospitalization of patients with heart failure: National Hospital Discharge Survey, 1985 to 1995 [J].
Haldeman, GA ;
Croft, JB ;
Giles, WH ;
Rashidee, A .
AMERICAN HEART JOURNAL, 1999, 137 (02) :352-360
[10]   SURVIVAL AFTER THE ONSET OF CONGESTIVE-HEART-FAILURE IN FRAMINGHAM HEART-STUDY SUBJECTS [J].
HO, KKL ;
ANDERSON, KM ;
KANNEL, WB ;
GROSSMAN, W ;
LEVY, D .
CIRCULATION, 1993, 88 (01) :107-115