Predictors of cardiovascular outcome and rehospitalization in elderly patients with heart failure.
Aged
Anemia
/ blood
Biomarkers
/ metabolism
C-Reactive Protein
/ metabolism
Cardio-Renal Syndrome
/ blood
Cardiovascular Diseases
/ blood
Chronic Disease
Echocardiography
Heart Failure
/ blood
Humans
Hyperuricemia
/ blood
Hyponatremia
/ blood
Natriuretic Peptides
/ metabolism
Parathyroid Hormone
/ metabolism
Patient Readmission
/ statistics & numerical data
Risk Factors
Stroke Volume
/ physiology
Troponin
/ metabolism
Vitamin D
/ metabolism
elderly patients
heart failure
predictors of rehospitalization
readmission
Journal
European journal of clinical investigation
ISSN: 1365-2362
Titre abrégé: Eur J Clin Invest
Pays: England
ID NLM: 0245331
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
26
04
2018
revised:
22
10
2018
accepted:
23
10
2018
pubmed:
29
10
2018
medline:
23
7
2019
entrez:
29
10
2018
Statut:
ppublish
Résumé
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. 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." 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. 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.
Sections du résumé
BACKGROUND
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
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
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
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.
Substances chimiques
Biomarkers
0
Natriuretic Peptides
0
Parathyroid Hormone
0
Troponin
0
Vitamin D
1406-16-2
C-Reactive Protein
9007-41-4
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13044Informations de copyright
© 2018 Stichting European Society for Clinical Investigation Journal Foundation.