PMID- 27510261
OWN - NLM
STAT- MEDLINE
DCOM- 20170327
LR  - 20170817
VI  - 126
IP  - 7-8
DP  - 2016 Aug 11
TI  - Heart failure in elderly patients: differences in clinical characteristics and 
      predictors of 1-year outcome in the Polish ESC-HF Long-Term Registry.
PG  - 502-13
LID - 10.20452/pamw.3490 [doi]
AB  - INTRODUCTION    Heart failure (HF) is the leading cause of hospitalization in 
      elderly patients. OBJECTIVES    The aim of the study was to examine the clinical 
      profile and 1-year outcomes of elderly patients (aged >/=65 years) compared with 
      younger patients (aged <65 years) hospitalized for HF decompensation, as well as 
      clinical differences among elderly patients aged 65-74 years and those aged >/=75 
      years. PATIENTS AND METHODS    The primary endpoint (PE; all-cause death) and the 
      secondary endpoint (SE; all-cause death or rehospitalization for HF worsening) 
      were assessed at 1 year in a group of 765 hospitalized Polish participants of the 
      ESC-HF Long-Term Registry. RESULTS    The PE was observed in 9.1% of patients 
      aged <65 years; 18.5% of those aged >/=65 years (P = 0.0001); 14.5% of those aged 
      65-74 years; and 21.6% of those aged >/=75 years (P = 0.07). The SE occurred in 
      28.0% of patients aged <65 years; 36.1% of those aged >/=65 years (P = 0.04); 29.2% 
      of those aged 65-74 years; and 41.2% of those aged >/=75 years (P = 0.01). 
      Independent predictors of the PE in patients aged >/=65 years were as follows: 
      chronic obstructive pulmonary disease (COPD), systolic blood pressure (SBP), New 
      York Heart Association (NYHA) class, beta-blocker use; in patients aged 65-74 years: 
      coronary revascularization, NYHA class, sodium, and creatinine; in patients aged 
      >/=75 years: NYHA class and SBP. Independent predictors of the SE in patients aged 
      >/=65 years were as follows: COPD, NYHA class, potassium, SBP, and physical 
      activity; in patients aged <65 years: chronic kidney disease (CKD), NYHA, and 
      SBP; in patients aged 65-74 years: NYHA and creatinine; and in patients aged >/=75 
      years, previous HF hospitalization, coronary artery disease, CKD, COPD, alcohol 
      consumption, smoking, NYHA, and SBP. CONCLUSIONS    Elderly patients with HF 
      differed from younger patients in terms of long-term outcome and prognostic 
      factors. There were also important differences within the elderly group itself.
FAU - Ozieranski, Krzysztof
AU  - Ozieranski K
FAU - Balsam, Pawel
AU  - Balsam P
FAU - Tyminska, Agata
AU  - Tyminska A
FAU - Peller, Michal
AU  - Peller M
FAU - Kaplon-Cieslicka, Agnieszka
AU  - Kaplon-Cieslicka A
FAU - Marchel, Michal
AU  - Marchel M
FAU - Drozdz, Jaroslaw
AU  - Drozdz J
FAU - Filipiak, Krzysztof J
AU  - Filipiak KJ
FAU - Opolski, Grzegorz
AU  - Opolski G
LA  - eng
PT  - Journal Article
DEP - 20160811
PL  - Poland
TA  - Pol Arch Med Wewn
JT  - Polskie Archiwum Medycyny Wewnetrznej
JID - 0401225
SB  - IM
CIN - Pol Arch Med Wewn. 2016 Aug 25;126(7-8):463-4. PMID: 27578218
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Blood Pressure
MH  - Coronary Disease
MH  - Exercise
MH  - Female
MH  - Heart Failure/*diagnosis/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Poland/epidemiology
MH  - Prognosis
MH  - Pulmonary Disease, Chronic Obstructive
MH  - Registries
MH  - Renal Insufficiency, Chronic
MH  - Risk Factors
EDAT- 2016/08/12 06:00
MHDA- 2017/03/28 06:00
CRDT- 2016/08/12 06:00
PHST- 2016/08/12 06:00 [entrez]
PHST- 2016/08/12 06:00 [pubmed]
PHST- 2017/03/28 06:00 [medline]
AID - 10.20452/pamw.3490 [doi]
PST - ppublish
SO  - Pol Arch Med Wewn. 2016 Aug 11;126(7-8):502-13. doi: 10.20452/pamw.3490. Epub 
      2016 Aug 11.