Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients : The SENECOR Study
Herrero-Torrus, Marta (Hospital del Mar (Barcelona, Catalunya))
Badosa, Neus (Institut Hospital del Mar d'Investigacions Mèdiques)
Roqueta, Cristina (Universitat Autònoma de Barcelona. Departament de Medicina)
Ruiz Bustillo, Sonia (Universitat Pompeu Fabra. Departament de Ciències Experimentals i de la Salut)
Solé González, Eduard (Hospital del Mar (Barcelona, Catalunya))
Belarte Tornero, Laia Carla (Institut Hospital del Mar d'Investigacions Mèdiques)
Valdivielso Moré, Sandra (Institut Hospital del Mar d'Investigacions Mèdiques)
Vázquez Ibar, Olga (Hospital del Mar (Barcelona, Catalunya))
Farré, Núria (Universitat Autònoma de Barcelona. Departament de Medicina)

Date:	2022
Abstract:	Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor. Methods: In this randomized trial, we consecutively assigned 150 patients 75 years old or older with a recent heart failure hospitalization to follow-up by a cardiologist (control) or follow-up by a cardiologist and a geriatrician (intervention). The primary outcome was all-cause hospitalization at a one-year follow-up. Results: All-cause hospitalization occurred in 47 of 75 patients (62. 7%) in the intervention group and in 58 of 75 patients (77. 3%) in the control group (hazard ratio, 0. 67; 95% confidence interval, 0. 46 to 0. 99; p = 0. 046). The number of patients with at least one HF hospitalization was similar in both groups (34. 7% in the intervention group vs. 40% in the control group, p = 0. 5). There were a total of 236 hospitalizations during the study period. The main reasons for hospitalization were heart failure (38. 1%) and infection (14. 8%). Mortality was 24. 7%. Heart failure was the leading cause of mortality (54. 1% of all deaths), without differences between groups. Conclusions: A follow-up by a cardiologist and geriatrician in older patients after an HF hospitalization was superior to a cardiologist's follow-up in reducing all-cause hospitalization in older patients. (Funded by Beca Primitivo de la Vega, Fundación MAPFRE. ClinicalTrials. gov number, NCT03555318).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Geriatrician ; Prognosis ; Heart failure ; All-cause hospitalization ; Cardiologist ; Frailty
Published in:	Journal of clinical medicine, Vol. 11 (march 2022) , ISSN 2077-0383

DOI: 10.3390/jcm11071932
PMID: 35407540

14 p, 1.6 MB

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