Age and quality of in-hospital care of patients with heart failure

European Journal of Public Health
Michel P KossovskyJean-Michel Gaspoz

Abstract

Elderly patients may be at risk of suboptimal care. Thus, the relationship between age and quality of care for patients hospitalized for heart failure was examined. A cross-sectional study based on retrospective chart review was performed among a random sample of patients hospitalized between 1996 and 1998 in the general internal medicine wards, with a principal diagnosis of congestive heart failure, and discharged alive. Explicit criteria of quality of care, grouped into three scores, were used: admission work-up (admission score); evaluation and treatment during the stay (evaluation and treatment score); and readiness for discharge (discharge score). The associations between age and quality of care scores were analysed using linear regression models. Charts of 371 patients were reviewed. Mean age was 75.7 (+/-11.1) years and 52% were men. There was no relationship between age and admission or readiness for discharge scores. The evaluation and treatment score decreased with age: compared with patients less than 70 years old, the score was lower by -2.6% (95% CI: -7.1 to 1.9) for patients aged 70 to 79, by -8.7% (95% CI: -13.0 to -4.3) for patients aged 80 to 89, and by -19.0% (95% CI: -26.6 to -11.5) for patients aged 90 and o...Continue Reading

Citations

Mar 17, 2006·The New England Journal of Medicine·Steven M AschElizabeth A McGlynn
Nov 1, 2011·European Journal of Public Health·Shahadat UddinMargaret Kelaher
Sep 23, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rong FuMeina Liu
Oct 4, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Elyse R ThakurMark E Kunik
Mar 19, 2020·BMJ Open·Svetlana V DoubovaRicardo Pérez-Cuevas

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