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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.

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.

Authors :
Herrero-Torrus M
Badosa N
Roqueta C
Ruiz-Bustillo S
Solé-González E
Belarte-Tornero LC
Valdivielso-Moré S
Vázquez O
Farré N
Source :
Journal of clinical medicine [J Clin Med] 2022 Mar 30; Vol. 11 (7). Date of Electronic Publication: 2022 Mar 30.
Publication Year :
2022

Abstract

Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor.<br />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.<br />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.<br />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.<br />Clinicaltrials: gov number, NCT03555318).

Details

Language :
English
ISSN :
2077-0383
Volume :
11
Issue :
7
Database :
MEDLINE
Journal :
Journal of clinical medicine
Publication Type :
Academic Journal
Accession number :
35407540
Full Text :
https://doi.org/10.3390/jcm11071932