Non-cardiovascular co-morbidity in elderly patients with heart failure outnumbers cardiovascular co-morbidity.

作者: Mark C. van der Wel , Rene W.M.M. Jansen , J. Carel Bakx , Hans H.J. Bor , Marcel G.M. OldeRikkert

DOI: 10.1016/J.EJHEART.2007.02.004

关键词:

摘要: BACKGROUND: Patients with heart failure often suffer from multiple co-morbid conditions. However, until now only cardiovascular co-morbidity has been well described. AIMS: To understand in the context of multi-morbidity, by describing age and sex specific patterns non-cardiovascular elderly patients general practice. METHODS: All aged 65 years over, diagnosed four practices Nijmegen Academic Practice-based Research Network (NPBRN) between January 1999 December 2003 were selected, prevalence 27 cardio- co-morbidities determined. RESULTS: Of 269 identified (mean 79 years; 57% women), 80.2% had or more co-morbidities. With increasing age, a significant increase conditions like visual hearing impairments, osteoarthritis, dementia urine incontinence; decrease myocardial infarction women, hypertension, was observed. In 85 disorders predominated over disorders. CONCLUSIONS: failure, is very high exceeds Diseases such as osteoarthritis must be taken into account management failure.

参考文章(40)
Arend Mosaterd, Jaap W. Deckers, Arno W. Hoes, Angelique Nederpel, Albert Smeets, David T. Linker, Diederick E. Grobbee, Classification of heart failure in population based research: an assessment of six heart failure scores. European Journal of Epidemiology. ,vol. 13, pp. 491- 502 ,(1997) , 10.1023/A:1007383914444
J. REMES, H. MlETTINEN, A. REUNANEN, K. PYÖRÄLÄ, Validity of clinical diagnosis of heart failure in primary health care European Heart Journal. ,vol. 12, pp. 315- 321 ,(1991) , 10.1093/OXFORDJOURNALS.EURHEARTJ.A059896
H. Smith, C. van Weel, J.W. Beasley, Family practice research networks. Experiences from 3 countries. Journal of Family Practice. ,vol. 49, pp. 938- 943 ,(2000)
Finlay A. McAlister, Simon Stewart, Stefania Ferrua, John J.J.V. McMurray, Multidisciplinary strategies for the management of heart failure patients at high risk for admission Journal of the American College of Cardiology. ,vol. 44, pp. 810- 819 ,(2004) , 10.1016/J.JACC.2004.05.055
Malee S Fernando, Paul G Ince, None, Vascular pathologies and cognition in a population-based cohort of elderly people. Journal of the Neurological Sciences. ,vol. 226, pp. 13- 17 ,(2004) , 10.1016/J.JNS.2004.09.004
Luigi Trojano, Raffaele Antonelli Incalzi, Domenico Acanfora, Costantino Picone, Patrizia Mecocci, Franco Rengo, CHF Italian Study Investigators, Cognitive impairment: a key feature of congestive heart failure in the elderly. Journal of Neurology. ,vol. 250, pp. 1456- 1463 ,(2003) , 10.1007/S00415-003-0249-3
Joel B Braunstein, Gerard F Anderson, Gary Gerstenblith, Wendy Weller, Marlene Niefeld, Robert Herbert, Albert W Wu, Noncardiac comorbidity increases preventable hospitalizations and mortality among medicare beneficiaries with chronic heart failure Journal of the American College of Cardiology. ,vol. 42, pp. 1226- 1233 ,(2003) , 10.1016/S0735-1097(03)00947-1
Ulf Dahlström, Frequent non-cardiac comorbidities in patients with chronic heart failure. European Journal of Heart Failure. ,vol. 7, pp. 309- 316 ,(2005) , 10.1016/J.EJHEART.2005.01.008
Sabina De Geest, Lieve Scheurweghs, Isabelle Reynders, Walter Pelemans, Walter Droogné, Johan Van Cleemput, Marcia Leventhal, Johan Vanhaecke, Differences in psychosocial and behavioral profiles between heart failure patients admitted to cardiology and geriatric wards. European Journal of Heart Failure. ,vol. 5, pp. 557- 567 ,(2003) , 10.1016/S1388-9842(02)00298-2