What question did this study set out to answer?

To characterize the morbidity, mortality, and clinical care patterns of older patients hospitalized with congestive heart failure.

February 1, 1998The Medical Journal of Australia

Management and outcomes of congestive heart failure: a prospective study of hospitalised patients

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Population

409 patients aged 60 years and over admitted to hospital with congestive heart failure between 1 May and 30…

Design

Cohort

Follow-up

one year

Authors

JLJulia LoweUniversity of Toronto PCP. CandlishCentral Coast Local Health District DHDavid HenryAstraZeneca (United Kingdom)

Discussion

Member takes

Implication

High post-discharge CHF mortality, especially after readmission, warrants close surveillance in older adults; leaves open whether targeted strategies improve survival.

Key Points

To characterize the morbidity, mortality, and clinical care patterns of older patients hospitalized with congestive heart failure.
Prospective cohort study of 409 patients aged 60 years and older admitted with congestive heart failure across two hospitals in New South Wales between May and November 1993.
Followed patients for one year to assess length of stay, 28-day unplanned readmission rates, and mortality at 28 days and one year via multivariate analysis.
Median hospital length of stay was 8 days, 28-day unplanned readmissions reached 20%, and only 66% of patients were discharged on ACE inhibitors.
Mortality was 12.5% at 28 days and 33% at one year, with first admissions demonstrating lower 28-day mortality than readmissions (OR 0.25; 95% CI, 0.1–0.62) and a 17% shorter length of stay.
Increasing age and renal impairment were significantly associated with higher one-year mortality, whereas comorbidity significantly prolonged hospital stay.

Structured PICO

Population

409 patients aged 60 years and over admitted to hospital with congestive heart failure between 1 May and 30 November 1993

Outcome

Length of hospital stay (LOS); unplanned readmissions; mortality at 28 days and one yearhard clinical

Hospitalized congestive heart failure in older adults is associated with high rates of short-term readmission and one-year mortality, highlighting the need for intensive case management and improved guideline-directed medical therapy.

Cite This Study

Lowe et al. (1998) studied this question.

synapsesocial.com/papers/6a0ed1f8218372ada647c0ff https://doi.org/10.5694/j.1326-5377.1998.tb126744.x

Topics

Heart failure HFrEF treatment Heart failure hospitalization HFpEF management

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Implication

High post-discharge CHF mortality, especially after readmission, warrants close surveillance in older adults; leaves open whether targeted strategies improve survival.

Management and outcomes of congestive heart failure: a prospective study of hospitalised patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Management and outcomes of congestive heart failure: a prospective study of hospitalised patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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