Key result
Among institutionalized patients ≥80 years old hospitalized with heart failure, 63% died in the first year, with nursing home residency and class IV heart failure associated with early death.
Population
231 residents of the Philadelphia Geriatric Center aged 80 years and older, hospitalized with congestive…
Design
Cohort
Follow-up
Up to several years
Authors
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May guide prognostic discussions in very elderly institutionalized HF patients; leaves open whether interventions improve survival.
Cohort (n=231)
No
Institutionalized very elderly patients (≥80 years) hospitalized with heart failure have an extremely poor prognosis, with 63% mortality in the first year, driven by factors such as nursing home residency, NYHA class IV symptoms, impaired left ventricular function, and renal insufficiency.
Rui Wang (1998) conducted a cohort in Congestive heart failure (n=231). Baseline clinical characteristics (e.g., nursing home residency, class IV heart failure) vs. Absence of these characteristics was evaluated on Mortality and hospital readmission rate. Among institutionalized patients ≥80 years old hospitalized with heart failure, 63% died in the first year, with nursing home residency and class IV heart failure associated with early death.
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