Hospitalization due to acute heart failure. Role of the precipitating factors

Formiga, Francesç; Chivite, David; Manito, Nicolás; Casas, Susana; Llopis, Ferrán; Pujol, Ramón

doi:10.1016/j.ijcard.2006.10.004

Cited by 46 publications

(36 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In concordance with other studies [3,5,11,27], the most common factors in our total cohort were AF (19%) and respiratory infections (29%). However, although respiratory infections showed a similar frequency in both groups, the presence of AF and myocardial ischemia was more common in octogenarian patients.…”

Section: Discussionsupporting

confidence: 93%

“…Precipitating factors (PF) of decompensation in patients with HF may be cardiac (such as uncontrolled hypertension, arrhythmia or ischemia) or extra-cardiac (medication or dietary noncompliance, infections…). The extra-cardiac precipitants are the most common and have particular relevance for elderly [2,3]. However, there is only limited information on the prevalence and role as PF in this population.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, information is lacking in relation to PF in very elderly and preserved LVEF HF patients, the group with the highest number of readmissions. Furthermore, the evaluation of a possible prognostic effect of PF has been barely assessed [2][3][11][12]. There are only a few prospective papers [13][14], most of them evaluating only in-hospital mortality.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Precipitating factors of heart failure admission: Differences related to age and left ventricular ejection fraction

Salamanca‐Bautista

Conde-Martel

Aramburu‐Bodas

et al. 2016

International Journal of Cardiology

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Precipitating factors of heart failure admission: Differences related to age and left ventricular ejection fraction

Salamanca‐Bautista

Conde-Martel

Aramburu‐Bodas

et al. 2016

International Journal of Cardiology

Self Cite

View full text Add to dashboard Cite

“…These findings are also in keeping with expectations that the service would be effective for heart failure, as medication problems have been found to be a common contributor to hospitalization for heart failure. 17,18 A Spanish study of 293 cases found poor medication compliance was a precipitating factor for heart failure hospitalizations in 12.5% of cases, use of harmful medications in 6.5% of cases and withdrawal of beneficial medications in 1.4%. 18 The results are also consistent with findings demonstrating medicationrelated problems are contributors to admissions for heart failure.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 A Spanish study of 293 cases found poor medication compliance was a precipitating factor for heart failure hospitalizations in 12.5% of cases, use of harmful medications in 6.5% of cases and withdrawal of beneficial medications in 1.4%. 18 The results are also consistent with findings demonstrating medicationrelated problems are contributors to admissions for heart failure. 3,17,19 With hospitalizations in Australia for heart failure estimated to cost $140 million per annum, 12 these delays to next hospitalization could contribute to significant cost savings to the health system.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Collaborative Medicine Reviews in Delaying Time to Next Hospitalization for Patients With Heart Failure in the Practice Setting

Roughead

Barratt

Ramsay

et al. 2009

Circ: Heart Failure

111

View full text Add to dashboard Cite

Background-Randomized controlled trials have demonstrated that collaborative medication reviews can improve outcomes for patients with heart failure. We aimed to determine whether these results translated into Australian practice, where collaborative reviews are nationally funded. Methods and Results-This retrospective cohort study using administrative claims data included veterans 65 years and older receiving bisoprolol, carvedilol, or metoprolol succinate for which prescribing physicians indicated treatment was for heart failure. We compared those exposed to a general practitioner-pharmacist collaborative home medication review with those who did not receive the service. The service includes physician referral, a home visit by an accredited pharmacist to identify medication-related problems, and a pharmacist report with follow-up undertaken by the physician. Kaplan-Meier analyses and Cox proportional hazards models were used to compare time until next hospitalization for heart failure between the exposed and unexposed groups. There were 273 veterans exposed to a home medicines review and 5444 unexposed patients. Average age in both groups was 81.6 years (no significant difference). The median number of comorbidities was 8 in the exposed group and 7 in the unexposed (PϽ0.0001). Unadjusted results showed a 37% reduction in rate of hospitalization for heart failure at any time (hazard ratio, 0.63; 95% CI, 0.44 to 0.89). Adjusted results showed a 45% reduction (hazard ratio, 0.55; 95% CI, 0.39 to 0.77) among those who had received a home medicines review compared with the unexposed patients. Conclusion-Medicines review in the practice setting is effective in delaying time to next hospitalization for heart failure in those treated with heart failure medicines. (Circ Heart Fail. 2009;2:424-428.)

show abstract

Comorbidity patterns in institutionalized older adults affected by dementia

Zazzara

Vetrano

Carfì

et al. 2022

Alz & Dem Diag Ass & Dis Mo

View full text Add to dashboard Cite

Introduction Dementia is common in nursing homes (NH) residents. Defining dementia comorbidities is instrumental to identify groups of persons with dementia that differ in terms of health trajectories and resources consumption. We performed a cross‐sectional study to identify comorbidity patterns and their associated clinical, behavioral, and functional phenotypes in institutionalized older adults with dementia. Methods We analyzed data on 2563 Italian NH residents with dementia, collected between January 2014 and December 2018 using the multidimensional assessment instrument interRAI Long‐Term Care Facility (LTCF). A standard principal component procedure was used to identify comorbidity patterns. Linear regression analyses were used to ascertain correlates of expression of the different patterns. Results Among NH residents with dementia, we identified three different comorbidity patterns: (1) heart diseases, (2) cardiovascular and respiratory diseases and sensory impairments, and (3) psychiatric diseases. Older age significantly related to increased expression of the first two patterns, while younger patients displayed increased expression of the third one. Recent hospital admissions were associated with increased expression of the heart diseases pattern (β = 0.028; 95% confidence interval [CI] 0.003 to 0.05). Depressive symptoms and delirium episodes increased the expression of the psychiatric diseases pattern (β = 0.130, 95% CI 0.10 to 0.17, and β 0.130, CI 0.10 to 0.17, respectively), while showed a lower expression of the heart diseases pattern. Discussion We identified different comorbidity patterns within NH residents with dementia that differ in term of clinical and functional profiles. The prompt recognition of health needs associated to a comorbidity pattern may help improve long‐term prognosis and quality of life of these individuals. Highlights Defining dementia comorbidities patterns in institutionalized older adults is key. Institutionalized older adults with dementia express different care needs. Comorbidity patterns are instrumental to identify different patients’ phenotypes. Phenotypes vary in terms of health trajectories and demand different care plans. Prompt recognition of phenotypes in nursing homes can positively impact on outcomes.

show abstract

Hospitalization due to acute heart failure. Role of the precipitating factors

Cited by 46 publications

References 32 publications

Precipitating factors of heart failure admission: Differences related to age and left ventricular ejection fraction

Precipitating factors of heart failure admission: Differences related to age and left ventricular ejection fraction

The Effectiveness of Collaborative Medicine Reviews in Delaying Time to Next Hospitalization for Patients With Heart Failure in the Practice Setting

Comorbidity patterns in institutionalized older adults affected by dementia

Contact Info

Product

Resources

About