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Eur J Clin Invest. 2019 Feb;49(2):e13044. doi: 10.1111/eci.13044. Epub 2018 Nov 16.

Predictors of cardiovascular outcome and rehospitalization in elderly patients with heart failure.

Author information

1
Clinic of Cardiovascular Diseases, University of Genoa, Genoa, Italy.
2
IRCCS Ospedale Policlinico San Martino Genoa - Italian Cardiovascular Network, Genoa, Italy.
3
Department of Internal Medicine, First Clinic of Internal Medicine, University of Genoa, Genoa, Italy.
4
Department of Internal Medicine, and Centre of Excellence for Biomedical Research (CEBR), First Clinic of Internal Medicine, University of Genoa, Genoa, Italy.
5
IRCCS Ospedale Policlinico San Martino Genoa, Genoa, Italy.
6
Department of Internal Medicine, Geriatric Unit, University of Genoa, Genoa, Italy.

Abstract

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.

KEYWORDS:

elderly patients; heart failure; predictors of rehospitalization; readmission

PMID:
30368802
DOI:
10.1111/eci.13044
[Indexed for MEDLINE]

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