End-of-life preferences in elderly patients admitted for heart failure

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End-of-life preferences of elderly patients with chronic heart failure.

AIMS Elderly heart failure (HF) patients are assumed to prefer improved quality of life over longevity, but sufficient data are lacking. Therefore, we assessed the willingness to trade survival time for quality-of-life (QoL) and the preferences for resuscitation. METHODS AND RESULTS At baseline and after 12 and 18 months, 622 HF patients aged ≥60 years (77 ± 8 years, 74% NYHA-class ≥III) part...

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[Functional assessment of elderly patients admitted for heart failure].

The aim of our study was to evaluate the usefulness of functional assessment in very old patients admitted for heart failure. We assessed 188 patients aged >79 years. Their mean age was 84.6 (3.5) years, and 67% were female. Twenty-five patients (13%) died. Mortality was higher in those with more severe disability, with more comorbid conditions (as determined by the Charlson index), and with a ...

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End-of-life options for patients with advanced heart failure.

Heart failure is a progressive disease with significant morbidity and mortality, but prognostication often is difficult. Many of the evidence-based therapies for heart failure provide symptomatic benefit, but may have intolerable side effects for patients with advanced disease. At the end of life, there is evidence of varying strengths for pharmacologic and nonpharmacologic relief of common sym...

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Religious Beliefs towards the End of Life among Elderly Patients with Chronic Heart Failure and the Relationship with End-Of-Life Preferences

Objective: Religious beliefs may influence end-of-life decision-making among patients with Chronic Heart Failure (CHF). Objectives of the current longitudinal observational study were: 1) to explore whether and to what extent preferences for life-sustaining treatments and willingness to trade survival time for excellent health are influenced by religious beliefs among elderly patients with CHF;...

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End-of-life matters in chronic heart failure patients.

PURPOSE OF REVIEW Until recently, concepts of care for people with heart failure had rarely included preparation for unavoidable imminent death or caring for the dying.The purpose of this review is to provide an update on current end-of-life issues specific to heart failure patients. RECENT FINDINGS Mortality in the heart failure population remains high, especially shortly after the first acu...

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ژورنال

عنوان ژورنال: QJM

سال: 2004

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hch135