End-of-life preferences of elderly patients with chronic heart failure
Population
622 heart failure patients aged ≥60 years participating in the Trial of Intensified vs. standard Medical…
Design
Cohort
Follow-up
18 months
Authors
Discussion
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Member takes
Implication
Challenges assumptions on elderly HF patients' preferences; leaves open whether findings should guide individualized resuscitation discussions.
Structured PICO
P
Population
622 heart failure patients aged ≥60 years (mean age 77 ± 8 years, 74% NYHA-class ≥III) participating in the Trial of Intensified vs. standard Medical therapy in Elderly patients with Congestive Heart Failure
I
Intervention
Prospective evaluation of end-of-life preferences (willingness to trade survival time for quality-of-life and preferences for resuscitation)
O
Outcome
Willingness to trade survival time for quality-of-life (QoL) and preferences for resuscitation at baseline, 12, and 18 monthspatient reported
Contrary to common assumptions, the majority of elderly heart failure patients prefer longevity over improved quality of life and half wish to be resuscitated.
Cite This Study
Rocca et al. (2011) studied this question.