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Predictors of cardiovascular outcome and rehospitalization in elderly patients with heart failure
Author(s) -
Rosa Gian M.,
Scagliola Riccardo,
Ghione Paola,
Valbusa Alberto,
Brunelli Claudio,
Carbone Federico,
Montecucco Fabrizio,
Monacelli Fiammetta
Publication year - 2019
Publication title -
european journal of clinical investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 107
eISSN - 1365-2362
pISSN - 0014-2972
DOI - 10.1111/eci.13044
Subject(s) - medicine , heart failure , risk stratification , quality of life (healthcare) , intensive care medicine , disease , narrative review , emergency medicine , nursing
Abstract Background Heart failure ( HF ) is a major public health problem and represents the only cardiac disease continuing to increase in prevalence, in particular among elderly patients. The frequent rehospitalizations have a negative impact on quality of life of patients with HF , constituting a substantial cost for patients and the health system. The aim of this review was to look into biochemical, echocardiographic and socioeconomical parameters as predictors of clinical outcomes and rehospitalizations. Methods This narrative review is based on the material searched for and obtained via PubMed from January 2000 up to March 2018. The search terms we used were as follows: “elderly, heart failure, cardiovascular” in combination with “biomarker, echocardiography and hospitalization.” Results This review analyses the potential predictive role of biochemical and echocardiographic and socioeconomical parameters on clinical outcomes (particularly cardiovascular) and hospital readmissions in patients with chronic HF . We focused on risk stratification of elderly patients with HF , who constitute a category of frail subjects at higher risk for readmission to hospital. Conclusions In elderly subjects with chronic HF , the risk stratification could benefit of a multiparametric approach combining biochemical, echocardiographic, demographic and socioeconomical parameters, thus ensuring a better quality of life and at the same time a better allocation of financial resources.