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Epidemiology of heart failure in a community-based study of subjects aged >= 57 years: Incidence and long-term survival

van Jaarsveld, CHM; Ranchor, AV; Kempen, GIJM; Coyne, JC; van Veldhuisen, DJ; Sanderman, R; (2006) Epidemiology of heart failure in a community-based study of subjects aged >= 57 years: Incidence and long-term survival. EUR J HEART FAIL , 8 (1) 23 - 30. 10.1016/j.ejheart.2005.04.012.

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Abstract

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 front 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. (c) 2005 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.

Type: Article
Title: Epidemiology of heart failure in a community-based study of subjects aged >= 57 years: Incidence and long-term survival
DOI: 10.1016/j.ejheart.2005.04.012
Keywords: heart failure, survival, incidence, epidemiology, elderly, sex, QUALITY-OF-LIFE, CHRONIC MEDICAL CONDITIONS, POPULATION, PROGNOSIS, TRENDS, HEALTH, DIAGNOSIS, TRIALS, MANAGEMENT, MORBIDITY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/2887
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