TY - JOUR
T1 - Predictors of cardiovascular outcome and rehospitalization in elderly patients with heart failure
AU - Rosa, Gian M.
AU - Scagliola, Riccardo
AU - Ghione, Paola
AU - Valbusa, Alberto
AU - Brunelli, Claudio
AU - Carbone, Federico
AU - Montecucco, Fabrizio
AU - Monacelli, Fiammetta
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: Heart failure (HF) is a major public health problem and represents the only cardiac disease continuing to increase in prevalence, in particular among elderly patients. The frequent rehospitalizations have a negative impact on quality of life of patients with HF, constituting a substantial cost for patients and the health system. The aim of this review was to look into biochemical, echocardiographic and socioeconomical parameters as predictors of clinical outcomes and rehospitalizations. Methods: This narrative review is based on the material searched for and obtained via PubMed from January 2000 up to March 2018. The search terms we used were as follows: “elderly, heart failure, cardiovascular” in combination with “biomarker, echocardiography and hospitalization.”. Results: This review analyses the potential predictive role of biochemical and echocardiographic and socioeconomical parameters on clinical outcomes (particularly cardiovascular) and hospital readmissions in patients with chronic HF. We focused on risk stratification of elderly patients with HF, who constitute a category of frail subjects at higher risk for readmission to hospital. Conclusions: In elderly subjects with chronic HF, the risk stratification could benefit of a multiparametric approach combining biochemical, echocardiographic, demographic and socioeconomical parameters, thus ensuring a better quality of life and at the same time a better allocation of financial resources.
AB - Background: Heart failure (HF) is a major public health problem and represents the only cardiac disease continuing to increase in prevalence, in particular among elderly patients. The frequent rehospitalizations have a negative impact on quality of life of patients with HF, constituting a substantial cost for patients and the health system. The aim of this review was to look into biochemical, echocardiographic and socioeconomical parameters as predictors of clinical outcomes and rehospitalizations. Methods: This narrative review is based on the material searched for and obtained via PubMed from January 2000 up to March 2018. The search terms we used were as follows: “elderly, heart failure, cardiovascular” in combination with “biomarker, echocardiography and hospitalization.”. Results: This review analyses the potential predictive role of biochemical and echocardiographic and socioeconomical parameters on clinical outcomes (particularly cardiovascular) and hospital readmissions in patients with chronic HF. We focused on risk stratification of elderly patients with HF, who constitute a category of frail subjects at higher risk for readmission to hospital. Conclusions: In elderly subjects with chronic HF, the risk stratification could benefit of a multiparametric approach combining biochemical, echocardiographic, demographic and socioeconomical parameters, thus ensuring a better quality of life and at the same time a better allocation of financial resources.
KW - elderly patients
KW - heart failure
KW - predictors of rehospitalization
KW - readmission
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U2 - 10.1111/eci.13044
DO - 10.1111/eci.13044
M3 - Review article
C2 - 30368802
AN - SCOPUS:85056663931
VL - 49
JO - European Journal of Clinical Investigation
JF - European Journal of Clinical Investigation
SN - 0014-2972
IS - 2
M1 - e13044
ER -