Survival of elderly men with congestive heart failure

George Taffet, Thomas A. Teasdale, Anthony J. Bleyer, Nicholas J. Kutka, Robert J. Luchi

Research output: Contribution to journalArticle

88 Scopus citations

Abstract

Congestive heart failure (CHF) is the most common discharge diagnosis for elderly patients. The survival of elderly (age ≥ 75 years) patients with CHF has not recently been reported, especially with reference to left ventricular ejection fraction (LVEF). A patient database was searched for the diagnosis of CHF and then screened for age ≥ 75, Framingham Criteria for CHF and an LVEF evaluation. Ninety-four men fitted all criteria, including a minimum potential follow-up of 3 years. Life-table analysis was employed to compare their survival experience to an expected survival based on a sex- and age-equivalent subset of the 1980 Census data. Causes of death were determined from autopsy, medical records or death certificates. Mean age at onset of CHF was 82.5. Forty-three per cent had an LVEF ≥ 0.45. There was no difference in the prevalence of potential aetiologies between those with LVEF ≥ 0.45 versus LVEF < 0.45. Lifetable analysis revealed that CHF patients had a worse survival than controls for the first 5 years after diagnosis, attributable primarily to a high first-year mortality (28%) for the CHF group. There was no difference in survival between the LVEF ≥ 0.45 and LVEF < 0.45 groups.

Original languageEnglish (US)
Pages (from-to)49-55
Number of pages7
JournalAge and Ageing
Volume21
Issue number1
DOIs
StatePublished - Jan 1992

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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