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The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study

OBJECTIVE: To assess the aging burden of hospitalization for heart failure in Chinese populations in Macao. METHODS: The Macao Heart Failure Study consists of patients hospitalized with a diagnosis of acute heart failure (AHF) at Centro Hospitalar Conde de São Januário (the only public hospital that...

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Autores principales: LU, Zhi-Nan, Evora, Mario, Lao, Edmundo, Pun, Man Ieng, Pun, Weng Hong, Pon, Monica, Chu, Kong, Ieong, Pui I, Mok, Toi-Meng, WU, Yong-Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Science Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568047/
https://www.ncbi.nlm.nih.gov/pubmed/33117417
http://dx.doi.org/10.11909/j.issn.1671-5411.2020.09.008
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author LU, Zhi-Nan
Evora, Mario
Lao, Edmundo
Pun, Man Ieng
Pun, Weng Hong
Pon, Monica
Chu, Kong
Ieong, Pui I
Mok, Toi-Meng
WU, Yong-Jian
author_facet LU, Zhi-Nan
Evora, Mario
Lao, Edmundo
Pun, Man Ieng
Pun, Weng Hong
Pon, Monica
Chu, Kong
Ieong, Pui I
Mok, Toi-Meng
WU, Yong-Jian
author_sort LU, Zhi-Nan
collection PubMed
description OBJECTIVE: To assess the aging burden of hospitalization for heart failure in Chinese populations in Macao. METHODS: The Macao Heart Failure Study consists of patients hospitalized with a diagnosis of acute heart failure (AHF) at Centro Hospitalar Conde de São Januário (the only public hospital that provides medical care for the approximately 600, 000 residents of Macao) from January 2014 to December 2016. First, we investigated the relationship between socioeconomic development and epidemiological characteristics of HF in Macao. Then we assessed the patientso clinical features and outcomes according to the age groups. RESULTS: A total of 967 patients were included in the final analysis. The median age at admission was 82 years old. The advanced age at the admission of HF in Macao was significantly associated with a high-income level and the aging population structure. Marked heterogeneity existed in the epidemiological characteristics, clinical features, utilization of evidence-based therapies, short- and long-term outcomes, and prognostic utility of clinical variables among the different age groups. CONCLUSION: Rapid economic development and significantly aging populations have produced a profound impact on the epidemiological characteristics of HF in Chinese populations. Acute decompensated heart failure (ADHF) is predominantly a disease of the elderly in Macao, and a significant heterogeneity exists in the clinical features, managements, and outcomes among different age groups. Age-based risk stratification models and multidisciplinary HF teams are urgently needed to improve the management and outcomes of hospitalized heart failure (HHF) patients.
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spelling pubmed-75680472020-10-27 The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study LU, Zhi-Nan Evora, Mario Lao, Edmundo Pun, Man Ieng Pun, Weng Hong Pon, Monica Chu, Kong Ieong, Pui I Mok, Toi-Meng WU, Yong-Jian J Geriatr Cardiol Research Article OBJECTIVE: To assess the aging burden of hospitalization for heart failure in Chinese populations in Macao. METHODS: The Macao Heart Failure Study consists of patients hospitalized with a diagnosis of acute heart failure (AHF) at Centro Hospitalar Conde de São Januário (the only public hospital that provides medical care for the approximately 600, 000 residents of Macao) from January 2014 to December 2016. First, we investigated the relationship between socioeconomic development and epidemiological characteristics of HF in Macao. Then we assessed the patientso clinical features and outcomes according to the age groups. RESULTS: A total of 967 patients were included in the final analysis. The median age at admission was 82 years old. The advanced age at the admission of HF in Macao was significantly associated with a high-income level and the aging population structure. Marked heterogeneity existed in the epidemiological characteristics, clinical features, utilization of evidence-based therapies, short- and long-term outcomes, and prognostic utility of clinical variables among the different age groups. CONCLUSION: Rapid economic development and significantly aging populations have produced a profound impact on the epidemiological characteristics of HF in Chinese populations. Acute decompensated heart failure (ADHF) is predominantly a disease of the elderly in Macao, and a significant heterogeneity exists in the clinical features, managements, and outcomes among different age groups. Age-based risk stratification models and multidisciplinary HF teams are urgently needed to improve the management and outcomes of hospitalized heart failure (HHF) patients. Science Press 2020-09-28 2020-09-28 /pmc/articles/PMC7568047/ /pubmed/33117417 http://dx.doi.org/10.11909/j.issn.1671-5411.2020.09.008 Text en Copyright and License information: Journal of Geriatric Cardiology 2020 http://creativecommons.org/licenses/by-nc-sa/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/
spellingShingle Research Article
LU, Zhi-Nan
Evora, Mario
Lao, Edmundo
Pun, Man Ieng
Pun, Weng Hong
Pon, Monica
Chu, Kong
Ieong, Pui I
Mok, Toi-Meng
WU, Yong-Jian
The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title_full The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title_fullStr The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title_full_unstemmed The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title_short The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
title_sort aging burden of hospitalization for heart failure in chinese populations: evidence from the macao heart failure study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568047/
https://www.ncbi.nlm.nih.gov/pubmed/33117417
http://dx.doi.org/10.11909/j.issn.1671-5411.2020.09.008
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