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National survey on the management of heart failure in individuals over 80?years of age in French geriatric care units.


ABSTRACT:

Background

To evaluate the prevalence and management of heart failure (HF) in very old patients in geriatric settings.

Methods

Members of the French Society of Geriatrics and Gerontology throughout France were invited to participate in a point prevalence survey and to include all patients ?80?years old, hospitalized in geriatric settings, with HF (stable or decompensated) on June 18, 2012. General characteristics, presence of comorbidities, blood tests and medications were recorded.

Results

Among 7,197 patients in geriatric institution, prevalence of HF was 20.5% (n?=?1,478): (27% in acute care, 24.2% in rehabilitation care and 18% in nursing home). Mean age was 88.2 (SD?=?5.2) and Charlson co morbidity score was high (8.49 (SD?=?2.21)). Left ventricular ejection fraction (LVEF) was available in 770 (52%) patients: 536 (69.6%) had a preserved LVEF (? 50%), 120 (15.6%) a reduced LVEF (ConclusionIn this large very old population, prevalence of HF was high. Recommended HF drugs were underused even in reduced LVEF. These results indicate that management of HF in geriatric settings can still be improved.

SUBMITTER: Boully C 

PROVIDER: S-EPMC6670218 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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<h4>Background</h4>To evaluate the prevalence and management of heart failure (HF) in very old patients in geriatric settings.<h4>Methods</h4>Members of the French Society of Geriatrics and Gerontology throughout France were invited to participate in a point prevalence survey and to include all patients ≥80 years old, hospitalized in geriatric settings, with HF (stable or decompensated) on June 18, 2012. General characteristics, presence of comorbidities, blood tests and medications were recorde  ...[more]

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