Life expectancy for community-based patients with heart failure from time of diagnosis

Stephanie James, David Barton, Eoin O'Connell, Victor Voon, Gillian Murtagh, Chris Watson, Theodore Murphy, Brian Prendiville, David Brennan, Mark Hensey, Louisa O'Neill, Rory O'Hanlon, Deirdre Waterhouse, Mark Ledwidge, Joseph Gallagher, Kenneth McDonald

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Abstract

AIMS: Heart failure has been demonstrated in previous studies to have a dismal prognosis. However, the modern-day prognosis of patients with new onset heart failure diagnosed in the community managed within a disease management programme is not known. The purpose of this study is to report on prognosis of patients presenting with new onset heart failure in the community who are subsequently followed in a disease management program.

METHODS AND RESULTS: A review of patients referred to a rapid access heart failure diagnostic clinic between 2002 and 2012 was undertaken. Details of diagnosis, demographics, medical history, medications, investigations and mortality data were analysed. A total of 733 patients were seen in Rapid Access Clinic for potential new diagnosis of incident of heart failure. 38.9% (n=285) were diagnosed with heart failure, 40.7% (n=116) with HF-REF and 59.3% (n=169) with HF-PEF. There were 84 (29.5%) deaths in the group of patients diagnosed with heart failure; 41 deaths (35.3%) occurred in patients with HF-REF and 43 deaths (25.4%) occurred in patients with HF-PEF. In patients with heart failure, 52.4% (n=44) died from cardiovascular causes. 63.8% of HF patients were alive after 5 years resulting on average in a month per year loss of life expectancy over that period compared with aged matched simulated population.

CONCLUSIONS: In this community-based cohort, the prognosis of heart failure was better than reported in previous studies. This is likely due to the impact of prompt diagnosis, the improvement in therapies and care within a disease management structure.

Original languageEnglish
Pages (from-to)268-74
Number of pages7
JournalInternational Journal of Cardiology
Volume178
Early online date02 Oct 2014
DOIs
Publication statusPublished - 15 Jan 2015

Keywords

  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Heart Failure
  • Humans
  • Life Expectancy
  • Male
  • Prognosis
  • Prospective Studies
  • Referral and Consultation
  • Residence Characteristics
  • Time Factors

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    James, S., Barton, D., O'Connell, E., Voon, V., Murtagh, G., Watson, C., Murphy, T., Prendiville, B., Brennan, D., Hensey, M., O'Neill, L., O'Hanlon, R., Waterhouse, D., Ledwidge, M., Gallagher, J., & McDonald, K. (2015). Life expectancy for community-based patients with heart failure from time of diagnosis. International Journal of Cardiology, 178, 268-74. https://doi.org/10.1016/j.ijcard.2014.09.131