This review highlights the unique challenges of managing heart failure in older, frail adults and proposes a pragmatic approach to care planning for this high-risk population.
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Highlights HF burden in older adults; leaves open targeted strategies to reduce admissions and mortality.
In developed countries, it is estimated that more than 10 % of adults aged over 70 years have heart failure (HF). Despite therapeutic advances, it remains a condition associated with significant morbidity and mortality. It is one of the commonest causes of unscheduled hospital admissions in older adults and data consistently show a lower uptake of evidence-based investigations and therapies as well as higher rates of HF hospitalisations and mortality than in younger adults. These rates are highest amongst patients discharged to 'skilled nursing facilities', where comorbidities, frailty and cognitive impairment are common and have a significant impact on outcomes. In this review, we examine current guidance and its limitations and offer a pragmatic approach to management of HF in this elderly population.
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Hill et al. (2017) conducted a review in Heart failure. Management of heart failure was evaluated.
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