Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 61, Issue 1, Pages 26-33Publisher
WILEY-BLACKWELL
DOI: 10.1111/jgs.12062
Keywords
heart failure; comorbidity; multimorbidity; epidemiology
Categories
Funding
- National Heart, Lung, and Blood Institute (NHLBI) [U19 HL91179-01]
- NHLBI [1RC1HL099395, U01HL105268]
- National Institute on Aging [K01AG33643]
Ask authors/readers for more resources
Objectives To examine whether the total burden of comorbidity and pattern of co-occurring conditions varies in individuals with heart failure (HF) with preserved left ventricular ejection fraction (LVEF) (HF-P) or HF with reduced LVEF (HF-R). Design Cross-sectional cohort study. Setting Four participating health plans within the National Heart, Lung, and Blood Institutesponsored Cardiovascular Research Network. Participants All members aged 65 and older with HF based on hospital discharge and ambulatory visit diagnoses. Measurements Participants with a LVEF of 50% or greater were classified as having HF-P. Presence of cardiac and noncardiac comorbidities was obtained from health plan administrative databases. Results Of 23,435 individuals identified with HF and LVEF information, 53% (12,407) had confirmed HF-P (mean age 79.6; 60% female). More than three-quarters of the sample had three or more co-occurring conditions in addition to HF, and half had five or more cooccurring conditions. Participants with HF-P had a slightly higher burden of comorbidity than those with HF-R (mean 4.5 vs 4.4, P = .002). Patterns of how specific conditions co-occurred did not vary in participants with preserved or reduced systolic function. Conclusion There is a high degree of comorbidity and multiple morbidity in individuals with HF. The burden and pattern of comorbidity varies only slightly in individuals with preserved or reduced LVEF. J Am Geriatr Soc 61:26-33, 2013.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available