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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
Boully Clémence C Vidal Jean-Sébastien JS Guibert Etienne E Ghazali Fanny Nisrin FN Pesce Alain A Beauplet Bérengère B Roger Jean-Dominique JD Carrière Isabelle I Timbely Boubacar B Idiri Houria H Constensoux Jean-Pierre JP Durocher Anne-Marie AM Dubail Delphine D Fargier Marc M Jeandel Claude C Berrut Gilles G Hanon Olivier O
BMC geriatrics 20190801 1
<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]