Key result
Older age (≥75 years) was associated with significantly greater in-hospital, 1-year, and 5-year mortality among 16,162 patients hospitalized with newly diagnosed congestive heart failure.
Observational (n=16,162)
Yes
Elderly patients hospitalized with newly diagnosed heart failure experience higher mortality but receive less evidence-based medical therapy and specialized care compared to younger patients.
We describe the age-specific outcomes for patients hospitalized with newly diagnosed congestive heart failure using administrative hospital abstracts from Alberta, Canada, from April 1, 1994, to March 31, 2000. Seniors (aged 65 years and older) constituted about 85 per cent of the 16,162 patients. Both co-morbidity and severity of illness tended to increase with age. The use of special care unit admissions, coronary artery diagnostic services (cardiac catheterization), and revascularization procedures (percutaneous transluminal coronary angioplasty/stenting, coronary artery bypass surgery) peaked in the 50-to 64-year age group and decreased with increasing age. Specialist/sub-specialist care, prescriptions of beta blockers and angiotensin-converting enzyme inhibitors / angiotensin receptor blockers decreased with age in seniors. Adjusted in-hospital, 1-year mortality and crude, age-specific 5-year mortality were significantly greater in those 75 years and older. Outcomes and process of care in patients with newly diagnosed congestive heart failure were not uniformly distributed with age. The elderly had greater mortality but received less therapy.
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C̆ujec et al. (2004) conducted an observational in congestive heart failure (n=16,162). Older age vs. Younger age was evaluated on In-hospital, 1-year, and 5-year mortality. Older age (≥75 years) was associated with significantly greater in-hospital, 1-year, and 5-year mortality among 16,162 patients hospitalized with newly diagnosed congestive heart failure.
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