Electronic Resource
Chronic Obstructive Pulmonary Disease in Elderly Patients with Acute and Advanced Heart Failure: Palliative Care Needs—Analysis of the EPICTER Study
| العنوان: | Chronic Obstructive Pulmonary Disease in Elderly Patients with Acute and Advanced Heart Failure: Palliative Care Needs—Analysis of the EPICTER Study |
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| المؤلفون: | Universidad de Sevilla. Departamento de Medicina, Méndez Bailón, Manuel, Lorenzo Villalba, Noel, Romero Correa, Miriam, Josa Laorden, Claudia, Inglada Galiana, Luis, Menor Campos, Eva, Aramburu Bodas, Oscar, Salamanca Bautista, María del Prado |
| بيانات النشر: | MDPI 2022 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | There are studies that evaluate the association between chronic obstructive pulmonary disease (COPD) and heart failure (HF) but there is little evidence regarding the prognosis of this comorbidity in older patients admitted for acute HF. In addition, little attention has been given to the extracardiac and extrapulmonary symptoms presented by patients with HF and COPD in more advanced stages. The aim of this study was to evaluate the prognostic impact of COPD on mortality in elderly patients with acute and advanced HF and the clinical manifestations and management from a palliative point of view. Methods: The EPICTER study (“Epidemiological survey of advanced heart failure”) is a cross-sectional, multicenter project that consecutively collected patients admitted for HF in 74 Spanish hospitals. Demographic, clinical, treatment, organ-dependent terminal criteria (NYHA III-IV, LVEF <20%, intractable angina, HF despite optimal treatment), and general terminal criteria (estimated survival <6 months, patient/family acceptance of palliative approach, and one of the following: evidence of HF progression, multiple Emergency Room visits or admissions in the last six months, 10% weight loss in the last six months, and functional impairment) were collected. Terminal HF was considered if the patient met at least one organ-dependent criterion and all the general criteria. Both groups (HF with COPD and without COPD) were compared. A Kaplan–Meier survival analysis was performed to evaluate the presence of COPD on the vital prognosis of patients with HF. Results: A total of 3100 patients were included of which 812 had COPD. In the COPD group, dyspnea and anxiety were more frequently observed (86.2% vs. 75.3%, p = 0.001 and 35.4% vs. 31.2%, p = 0.043, respectively). In patients with a history of COPD, presentation of HF was in the form of acute pulmonary edema (21% vs. 14.4% in patients without COPD, p = 0.0001). Patients with COPD more frequently suffered from advanced HF (28.9% vs. |
| مصطلحات الفهرس: | Chronic obstructive pulmonary disease, Advance heart failure, Palliative care, info:eu-repo/semantics/article |
| URL: | Journal of Clinical Medicine (JCM), 11 (13), 3709. |
| الاتاحة: | Open access content. Open access content http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess Atribución 4.0 Internacional |
| ملاحظة: | English |
| Other Numbers: | SUE oai:idus.us.es:11441/144936 Méndez Bailón, M., Lorenzo Villalba, N., Romero Correa, M., Josa Laorden, C., Inglada Galiana, L., Menor Campos, E.,...,Salamanca Bautista, M.d.P. (2022). Chronic Obstructive Pulmonary Disease in Elderly Patients with Acute and Advanced Heart Failure: Palliative Care Needs—Analysis of the EPICTER Study. Journal of Clinical Medicine (JCM), 11 (13), 3709. https://doi.org/10.1097/PTS.0000000000000929. 2077-0383 10.1097/PTS.0000000000000929 1410802087 |
| المصدر المساهم: | UNIV DE SEVILLA From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1410802087 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |