Cargando…
Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study
Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor. Methods: In this randomized trial, we consecutively assigned 150 patients 75 years old or older with a recent heart failure hospitalization to follow-up by a cardiologist (control) or follow-up by a cardi...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999953/ https://www.ncbi.nlm.nih.gov/pubmed/35407540 http://dx.doi.org/10.3390/jcm11071932 |
_version_ | 1784685314548170752 |
---|---|
author | Herrero-Torrus, Marta Badosa, Neus Roqueta, Cristina Ruiz-Bustillo, Sonia Solé-González, Eduard Belarte-Tornero, Laia C. Valdivielso-Moré, Sandra Vázquez, Olga Farré, Núria |
author_facet | Herrero-Torrus, Marta Badosa, Neus Roqueta, Cristina Ruiz-Bustillo, Sonia Solé-González, Eduard Belarte-Tornero, Laia C. Valdivielso-Moré, Sandra Vázquez, Olga Farré, Núria |
author_sort | Herrero-Torrus, Marta |
collection | PubMed |
description | Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor. Methods: In this randomized trial, we consecutively assigned 150 patients 75 years old or older with a recent heart failure hospitalization to follow-up by a cardiologist (control) or follow-up by a cardiologist and a geriatrician (intervention). The primary outcome was all-cause hospitalization at a one-year follow-up. Results: All-cause hospitalization occurred in 47 of 75 patients (62.7%) in the intervention group and in 58 of 75 patients (77.3%) in the control group (hazard ratio, 0.67; 95% confidence interval, 0.46 to 0.99; p = 0.046). The number of patients with at least one HF hospitalization was similar in both groups (34.7% in the intervention group vs. 40% in the control group, p = 0.5). There were a total of 236 hospitalizations during the study period. The main reasons for hospitalization were heart failure (38.1%) and infection (14.8%). Mortality was 24.7%. Heart failure was the leading cause of mortality (54.1% of all deaths), without differences between groups. Conclusions: A follow-up by a cardiologist and geriatrician in older patients after an HF hospitalization was superior to a cardiologist’s follow-up in reducing all-cause hospitalization in older patients. (Funded by Beca Primitivo de la Vega, Fundación MAPFRE. ClinicalTrials.gov number, NCT03555318). |
format | Online Article Text |
id | pubmed-8999953 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89999532022-04-12 Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study Herrero-Torrus, Marta Badosa, Neus Roqueta, Cristina Ruiz-Bustillo, Sonia Solé-González, Eduard Belarte-Tornero, Laia C. Valdivielso-Moré, Sandra Vázquez, Olga Farré, Núria J Clin Med Article Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor. Methods: In this randomized trial, we consecutively assigned 150 patients 75 years old or older with a recent heart failure hospitalization to follow-up by a cardiologist (control) or follow-up by a cardiologist and a geriatrician (intervention). The primary outcome was all-cause hospitalization at a one-year follow-up. Results: All-cause hospitalization occurred in 47 of 75 patients (62.7%) in the intervention group and in 58 of 75 patients (77.3%) in the control group (hazard ratio, 0.67; 95% confidence interval, 0.46 to 0.99; p = 0.046). The number of patients with at least one HF hospitalization was similar in both groups (34.7% in the intervention group vs. 40% in the control group, p = 0.5). There were a total of 236 hospitalizations during the study period. The main reasons for hospitalization were heart failure (38.1%) and infection (14.8%). Mortality was 24.7%. Heart failure was the leading cause of mortality (54.1% of all deaths), without differences between groups. Conclusions: A follow-up by a cardiologist and geriatrician in older patients after an HF hospitalization was superior to a cardiologist’s follow-up in reducing all-cause hospitalization in older patients. (Funded by Beca Primitivo de la Vega, Fundación MAPFRE. ClinicalTrials.gov number, NCT03555318). MDPI 2022-03-30 /pmc/articles/PMC8999953/ /pubmed/35407540 http://dx.doi.org/10.3390/jcm11071932 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Herrero-Torrus, Marta Badosa, Neus Roqueta, Cristina Ruiz-Bustillo, Sonia Solé-González, Eduard Belarte-Tornero, Laia C. Valdivielso-Moré, Sandra Vázquez, Olga Farré, Núria Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title | Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title_full | Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title_fullStr | Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title_full_unstemmed | Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title_short | Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study |
title_sort | randomized controlled trial comparing a multidisciplinary intervention by a geriatrician and a cardiologist to usual care after a heart failure hospitalization in older patients: the senecor study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999953/ https://www.ncbi.nlm.nih.gov/pubmed/35407540 http://dx.doi.org/10.3390/jcm11071932 |
work_keys_str_mv | AT herrerotorrusmarta randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT badosaneus randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT roquetacristina randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT ruizbustillosonia randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT solegonzalezeduard randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT belartetornerolaiac randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT valdivielsomoresandra randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT vazquezolga randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy AT farrenuria randomizedcontrolledtrialcomparingamultidisciplinaryinterventionbyageriatricianandacardiologisttousualcareafteraheartfailurehospitalizationinolderpatientsthesenecorstudy |