Cargando…

Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience

CONTEXT: A growing number of elderly patients hospitalized for Acute Heart Failure (AHF) are being managed in cardiogeriatrics departments, but their characteristics and prognosis are poorly known. This study aimed to investigate the profile and outcome (rehospitalization at 90 days) of patients hos...

Descripción completa

Detalles Bibliográficos
Autores principales: Berthelot, Emmanuelle, Broussier, Amaury, Damy, Thibaud, Donadio, Cristiano, Cosson, Stephane, Rovani, Xavier, Salengro, Emmanuel, Billebeau, Gilles, Megbemado, Richard, Rekik, Noomen, Godreuil, Christian, Richard, Kevin, Shourick, Jason, Assayag, Patrick, Belmin, Joel, David, Jean Philippe, Hittinger, Luc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088705/
https://www.ncbi.nlm.nih.gov/pubmed/33933023
http://dx.doi.org/10.1186/s12877-021-02210-0
_version_ 1783686897968611328
author Berthelot, Emmanuelle
Broussier, Amaury
Damy, Thibaud
Donadio, Cristiano
Cosson, Stephane
Rovani, Xavier
Salengro, Emmanuel
Billebeau, Gilles
Megbemado, Richard
Rekik, Noomen
Godreuil, Christian
Richard, Kevin
Shourick, Jason
Assayag, Patrick
Belmin, Joel
David, Jean Philippe
Hittinger, Luc
author_facet Berthelot, Emmanuelle
Broussier, Amaury
Damy, Thibaud
Donadio, Cristiano
Cosson, Stephane
Rovani, Xavier
Salengro, Emmanuel
Billebeau, Gilles
Megbemado, Richard
Rekik, Noomen
Godreuil, Christian
Richard, Kevin
Shourick, Jason
Assayag, Patrick
Belmin, Joel
David, Jean Philippe
Hittinger, Luc
author_sort Berthelot, Emmanuelle
collection PubMed
description CONTEXT: A growing number of elderly patients hospitalized for Acute Heart Failure (AHF) are being managed in cardiogeriatrics departments, but their characteristics and prognosis are poorly known. This study aimed to investigate the profile and outcome (rehospitalization at 90 days) of patients hospitalized for AHF in cardiogeriatrics departments in the Val-de-Marne area in the suburbs of Paris, and to compare them to AHF patients hospitalized in cardiology departments in the same area. METHODS: Observational study, ICREX-94, conducted in seven cardiology departments in France and three specific cardiogeriatrics departments in Val-de-Marne. RESULTS: A total of 308 patients were hospitalized for AHF between October 2017 and January 2019. During the 90 days following discharge, 29.6% patients were readmitted to the hospital. Compared with patients hospitalized in cardiology departments, patients in cardiogeriatrics departments were older (p < 0.001), less independent (living more often alone or in an institution) (p < 0.001), more often depressed (p < 0.001), had more often major neurocognitive disorder (p < 0.001), had a higher Human Development Index (HDI, p < 0.001), and were less often diagnosed with amyloidosis (p < 0.001). There was no difference in outcome whether patients were discharged from cardiology or cardiogeriatrics departments. The most frequent precipitating factors underlying AHF decompensation between the first and second hospitalization were arrhythmia and infection. CONCLUSION: AHF patients discharged from cardiogeriatrics departments, compared to cardiology departments, showed clinical differences but had the same prognosis regarding AHF rehospitalization at 90 days.
format Online
Article
Text
id pubmed-8088705
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-80887052021-05-03 Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience Berthelot, Emmanuelle Broussier, Amaury Damy, Thibaud Donadio, Cristiano Cosson, Stephane Rovani, Xavier Salengro, Emmanuel Billebeau, Gilles Megbemado, Richard Rekik, Noomen Godreuil, Christian Richard, Kevin Shourick, Jason Assayag, Patrick Belmin, Joel David, Jean Philippe Hittinger, Luc BMC Geriatr Research CONTEXT: A growing number of elderly patients hospitalized for Acute Heart Failure (AHF) are being managed in cardiogeriatrics departments, but their characteristics and prognosis are poorly known. This study aimed to investigate the profile and outcome (rehospitalization at 90 days) of patients hospitalized for AHF in cardiogeriatrics departments in the Val-de-Marne area in the suburbs of Paris, and to compare them to AHF patients hospitalized in cardiology departments in the same area. METHODS: Observational study, ICREX-94, conducted in seven cardiology departments in France and three specific cardiogeriatrics departments in Val-de-Marne. RESULTS: A total of 308 patients were hospitalized for AHF between October 2017 and January 2019. During the 90 days following discharge, 29.6% patients were readmitted to the hospital. Compared with patients hospitalized in cardiology departments, patients in cardiogeriatrics departments were older (p < 0.001), less independent (living more often alone or in an institution) (p < 0.001), more often depressed (p < 0.001), had more often major neurocognitive disorder (p < 0.001), had a higher Human Development Index (HDI, p < 0.001), and were less often diagnosed with amyloidosis (p < 0.001). There was no difference in outcome whether patients were discharged from cardiology or cardiogeriatrics departments. The most frequent precipitating factors underlying AHF decompensation between the first and second hospitalization were arrhythmia and infection. CONCLUSION: AHF patients discharged from cardiogeriatrics departments, compared to cardiology departments, showed clinical differences but had the same prognosis regarding AHF rehospitalization at 90 days. BioMed Central 2021-05-01 /pmc/articles/PMC8088705/ /pubmed/33933023 http://dx.doi.org/10.1186/s12877-021-02210-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Berthelot, Emmanuelle
Broussier, Amaury
Damy, Thibaud
Donadio, Cristiano
Cosson, Stephane
Rovani, Xavier
Salengro, Emmanuel
Billebeau, Gilles
Megbemado, Richard
Rekik, Noomen
Godreuil, Christian
Richard, Kevin
Shourick, Jason
Assayag, Patrick
Belmin, Joel
David, Jean Philippe
Hittinger, Luc
Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title_full Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title_fullStr Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title_full_unstemmed Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title_short Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience
title_sort good performance in the management of acute heart failure in cardiogeriatric departments: the icrex-94 experience
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088705/
https://www.ncbi.nlm.nih.gov/pubmed/33933023
http://dx.doi.org/10.1186/s12877-021-02210-0
work_keys_str_mv AT berthelotemmanuelle goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT broussieramaury goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT damythibaud goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT donadiocristiano goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT cossonstephane goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT rovanixavier goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT salengroemmanuel goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT billebeaugilles goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT megbemadorichard goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT rekiknoomen goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT godreuilchristian goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT richardkevin goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT shourickjason goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT assayagpatrick goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT belminjoel goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT davidjeanphilippe goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT hittingerluc goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience
AT goodperformanceinthemanagementofacuteheartfailureincardiogeriatricdepartmentstheicrex94experience