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Epidemiology of heart failure in a community‐based study of subjects aged ≥57 years: Incidence and long‐term survival
Author(s) -
Jaarsveld Cornelia H.M.,
Ranchor Adelita V.,
Kempen Gertrudis I.J.M.,
Coyne James C.,
Veldhuisen Dirk J.,
Sanderman Robbert
Publication year - 2006
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1016/j.ejheart.2005.04.012
Subject(s) - medicine , incidence (geometry) , epidemiology , heart failure , risk factor , clinical trial , gerontology , pediatrics , optics , physics
Background: Survival data from hospital‐based or clinical trial studies of patients with chronic heart failure (CHF) do not represent survival in community‐based settings. Aims: To determine the incidence of CHF and the associated long‐term survival in a community‐based sample aged ≥57 years and to assess the mortality risk associated with sex and age. Methods: This study was part of the Groningen Longitudinal Aging Study. Results: Annual incidence of CHF per 1000 ranged from 2.5 in middle aged adults (57–60 years) up to 22.4 in older females (≥80 years) and 28.2 in older males (≥80 years). The 1, 2, 5 and 7‐year survival rates were 74%, 65%, 45%, 32% for patients with CHF, compared to 97%, 94%, 80% and 70% in a matched reference group without CHF. Higher age (≥76 years) was a risk factor for mortality (OR=2.1) and male sex was a risk factor in those aged ≤75 years (OR=1.9) but not for older patients. Conclusion: Long‐term survival rates for patients with CHF in the community were worse than the known survival rates from clinical trials. There is a need for studies describing the care of patients with CHF in the community, including the type of care, the provider, the quality of care and the outcome.