Characteristics,management,and predictors of 6-month mor-tality in very elderly patients admitted for decompensated he-art failure
Prado Salamanca-Bautista1
Rocío Ruiz-Hueso2
Irene Bravo-Candela2
Miriam Romero-Correa3
Ana Belkis Porto-Pérez4
Luis Enrique Cajamarca-Calva5
Miguel Otero-Soler6
Car-los Jiménez-de Juan7
Aída Gil-Díaz8
Carmen Alemán-Llansó9
Javier Abellán-Martínez10
Francesc Formiga11
on behalf of the EPICTER Investigators group
1.Hospital Universitario Virgen Macarena,Dr.Fedriani,s/n,41009 Sevilla,Spain;Department of Medicine,Univer-sidad de Sevilla,San Fernando,4,41004,Sevilla;Spain2.Hospital Universitario Virgen Macarena,Dr.Fedriani,s/n,41009 Sevilla,Spain3.Hospital General de Riotinto,Avda.de la Esquila,5,21660 Minas de Riotinto,Spain4.Hospital Universitario A Coruña,As Xubias,84,15006,A Coruña,Spain5.Hospital Universit-ari Parc Taulí,Parc Taulí,1,08208 Sabadell,Spain6.Hospital Nuestra Señora de Sonsoles,Avda.Juan Carlos Ⅰ,05004,Ávila,Spain7.Hospital Universitario Virgen del Rocío,Avda.Manuel Siurot,s/n 41013,Sevilla,Spain8.Hospital Uni-versitario de Gran Canaria Dr.Negrín,Barranco de la Ballena s/n,35010,Las Palmas de Gran Canaria,Spain;Depart-ment of Medical and Surgical Sciences,Universidad de Las Palmas de Gran Canaria,P.(o-)Blas Cabrera Felipe"Físico",s/n,35016,Las Palmas de Gran Canaria,Spain9.Hospital Universitari Vall d'Hebron,Pg.de la Vall d'Hebron,08035,Barcelona,Spain10.Hospital Universitario de Móstoles,Dr.Luis Montes,s/n,28935,Madrid,Spain11.Hospital Uni-versitari de Bellvitge,Carrer de la Feixa Llarga s/n,08907,L'Hospitalet de Llobregat,Spain
摘要：Background Patients aged 85 years or older admitted for heart failure(HF)have increased enormously due to improved sur-vival in this disease.However,few studies assess the characteristics,treatments,and prognosis of very elderly patients admitted for acute HF.
Methods This study is a retrospective analysis of the EPICTER registry,that included patients admitted for acute HF in 74 Spanish hospitals.For this analysis,a total of 1887 patients were included and divided into 2 groups:85 years or older(very eld-erly,680 patients)and those under 85 years.
Results Compared to patients＜85 years,very elderly patients were more frequently women,had more hypertension and dis-ease cerebrovascular disease,and less presence of chronic obstructive pulmonary disease(COPD),diabetes,and acute myocardi-al infarction.There were no differences in symptoms,except for delirium,significantly more common in very elderly patients.Management of these patients was more conservative and died more than the younger ones(41％vs.25％,P＜0.001).The predict-or variables of mortality in very elderly patients were the presence of COPD and peripheral arterial disease,delirium,and estim-ated survival of less than 6 months assessed by the physician in charge of the patient care.
Conclusion Very elderly patients admitted for HF differ from younger ones in comorbidities,management,and symptoms,and have higher mortality.The presence of delirium,peripheral arterial disease,and COPD worsen the prognosis in these pa-tients and can help to adapt the therapeutic effort and place emphasis on adequate symptom control.
机标关键词：characteristicsmanagement6-monthadmitteddecompensatedelderlyfailuremor-tality
论文发表日期：2025-09-30
在线出版日期：2025-11-14（本平台首次上网日期，不代表文献的发表时间）
页数：10( 802-811 )