The Diversity of Heart Failure in a Hospitalized Population: The Role of Age

Stein, Gideon Y.; Kremer, Angelika; Shochat, Tzipora; Bental, Tamir; Korenfeld, Roman; Abramson, Evgeny; Ben‐Gal, Tuvia; Sagie, Alexander; Fuchs, Shmuel

doi:10.1016/j.cardfail.2012.05.007

Cited by 31 publications

(29 citation statements)

References 25 publications

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“…Another important factor to consider is the presence of comorbidities, associated or not associated to HF, as half of the hospitalizations of the elderly are related to the high number of comorbidities and polypharmacy (17) . The mean number of comorbidities associated with the diagnosis of HF in this study (4.0) was similar to that found in previous studies (6) .…”

Section: Discussionmentioning

confidence: 99%

Heart failure as a predictor of functional dependence in hospitalized elderly

Xavier

Ferretti-Rebustini

Santana–Santos

et al. 2015

Rev. esc. enferm. USP

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Objective: Identify whether Heart Failure (HF) is a predictor of functional dependence for Basic Activities of Daily Living (BADL) in hospitalized elderly. Methods: We investigated medical records and assessed dependence to BADL (by the Katz Index) of 100 elderly admitted to a geriatric ward of a university hospital. In order to verify if HF is a predictor of functional dependence, linear regression analyzes were performed. Results: The prevalence of HF was 21%; 95% of them were dependent for BADLs. Bathing was the most committed ADL. HF is a predictor of dependence in hospitalized elderlies, increasing the chance of functional decline by 5 times (95% CI, 0.94-94.48), the chance of functional deterioration by 3.5 times (95% CI, 1.28-11.66; p <0.02) and reducing 0.79 points in the Katz Index score (p <0.05). Conclusion: HF is a dependency predictor of ADL in hospitalized elderly, who tend to be more dependent, especially for bathing.

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Section: Discussionmentioning

confidence: 99%

Heart failure as a predictor of functional dependence in hospitalized elderly

Xavier

Ferretti-Rebustini

Santana–Santos

et al. 2015

Rev. esc. enferm. USP

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“…[18] The importance of significant RV dysfunction among hospitalized patients with HF was also recently reported in both young and elderly patients. [3] Possibly the predictive value of significant RV dysfunction in our patient population mirrors the increased severity of combined cardiac and pulmonary disease. Whether the severity of RV failure is a marker or a contributing cause of respiratory and systemic infection is an important issue, which the current study was not designed to address.…”

Section: Discussionmentioning

confidence: 99%

“…[1,2] Such hospitalizations are associated with substantial mortality rates, due to both HF exacerbation and non-HF conditions. [3] Infections, predominantly respiratory infections are among the main co-morbidities diagnosed in hospitalized HF patients, ranging from 2.5% for pneumonia to 4.5% for chronic obstructive pulmonary disease (COPD). [2,4,5] In the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients With Heart Failure (OPTI-MIZE-HF) the rate of pneumonia/respiratory processes was identified as a precipitating factor in 15.3% of the patients and these were associated with 1.6 fold increase in hospital mortality.…”

Section: Introductionmentioning

confidence: 99%

Predictors and outcomes of infection-related hospital admissions of heart failure patients

Stein

Alon

Korenfeld

et al. 2013

European Heart Journal

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“…La IC es un síndrome clínico progresivo que puede tener diferentes características dependiendo de la etiología, edad, sexo, raza, etnia, y fracción de eyección del ventrículo izquierdo [6][7][8]. Aunque aparecen nuevos métodos diagnósticos tales como la ecocardiografía y los péptidos natriuréticos [9,10], la adecuada interpretación de los hallazgos clínicos sigue siendo fundamental para el diagnóstico.…”

Section: Introductionunclassified

“…La incidencia aumenta con la edad, de 20 casos por 1 000 habitantes para las personas de 65-69 años a más de 80 casos por 1 000 habitantes para las personas mayores de 85 años [3]. Se presenta más en la raza negra seguido por hispanos y norteamericanos [1].En Latinoamérica la incidencia de insuficiencia cardiaca va en aumento, debido a una mayor expectativa de vida, zonas endémicas para enfermedad de Chagas[4], avances en el tratamiento de enfermedades cardiovasculares y a la pandemia de síndrome metabólico que vive actualmente la población hispana [5].La IC es un síndrome clínico progresivo que puede tener diferentes características dependiendo de la etiología, edad, sexo, raza, etnia, y fracción de eyección del ventrículo izquierdo [6][7][8]. Aunque aparecen nuevos métodos diagnósticos tales como la ecocardiografía y los péptidos natriuréticos [9,10], la adecuada interpretación de los hallazgos clínicos sigue siendo fundamental para el diagnóstico.…”

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Semiología y diagnóstico diferencial de la insuficiencia cardíaca crónica

Giraldo

Salazar

Buitrago-Toro

et al. 2018

Rev. Médica Risaralda

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Resumen: la insuficiencia cardiaca es un síndrome clínico de etiología multifactorial de alta prevalencia en la población mundial y latinoamericana debido al aumento en la expectativa de vida. Actualmente el diagnóstico de este se basa en los hallazgos de pruebas diagnósticas como el ecocardiograma o pépticos natriuréticos, pero es importante para el personal médico conocer e identificar de manera clara los signos y síntomas que presentan los pacientes con insuficiencia cardiaca, pues es una tendencia actual el desconocer datos semiológicos importantes que fueron descritos y refinados durante los siglos XIX y XX, y que ahora son validados por la medicina basada en la evidencia. Lo anterior cobra importancia pues el papel que debe tener la creciente tecnología no es acabar o desplazar el conocimiento clínico, si no ser una herramienta complementaria para el buen cuidado del paciente y así llegar al mejor desenlace posible.Este artículo pretende brindar datos basados en la evidencia para hacer de la clínica la parte fundamental del proceso diagnóstico y de la relación médico paciente. También intenta ser una guía útil para estudiantes de medicina o médicos que se desenvuelven en sitios con pocos recursos económicos, ya que la elección adecuada de un examen diagnóstico solo puede ser llevada a cabo mediante un buen interrogatorio y examen físico.Palabras clave: insuficiencia cardiaca; Diagnóstico; Signos y Síntomas; Colombia Copyright © Facultad de Ciencias de la Salud de la Universidad Tecnológica de Pereira. 1995-2017. Todos los derechos reservados ® Semiology and differential diagnosis of chronic heart failure Abstract: heart failure is a clinical syndrome with multifactorial etiology of high prevalence in the world and Latin American population due to the increase in life expectancy. Currently the diagnosis of this is based on the findings of diagnostic tests such as echocardiogram or natriuretic peptic, but it is important for the medical staff to know and clearly identify the signs and symptoms that patients with heart failure present, as it is a current trend To ignore important semiological data that were described and refined during the nineteenth and twentieth centuries, and which are now validated by evidencebased medicine. This is important because the role of growing technology is not to end or displace clinical knowledge, if not to be a complementary tool for good patient care and thus reach the best possible outcome.This article aims to provide data based on the evidence to make the clinic the fundamental part of the diagnostic process and the patient medical relationship. It is also intended to be a useful guide for medical students or physicians operating in poorly funded areas, as the proper choice of a diagnostic examination can only be carried out through a thorough examination and physical examination.Key words: heart failure; Diagnosis; Signs and Symptoms; Colombia Copyright © Facultad de Ciencias de la Salud de la Universidad Tecnológica de Pereira. 1995-2017. All rights reserved ®. Introducc...

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The Diversity of Heart Failure in a Hospitalized Population: The Role of Age

Cited by 31 publications

References 25 publications

Heart failure as a predictor of functional dependence in hospitalized elderly

Heart failure as a predictor of functional dependence in hospitalized elderly

Predictors and outcomes of infection-related hospital admissions of heart failure patients

Semiología y diagnóstico diferencial de la insuficiencia cardíaca crónica

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