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Clinical Characteristics and Prognostic Relevance of Different Types of Caregivers for Elderly Patients with Acute Heart Failure-Analysis from the RICA Registry.

dc.contributor.authorMendez-Bailon, Manuel
dc.contributor.authorLorenzo-Villalba, Noel
dc.contributor.authorRubio-Garcia, Jorge
dc.contributor.authorMoreno-Garcia, Maria Carmen
dc.contributor.authorRopero-Luis, Guillermo
dc.contributor.authorMartinez-Litago, Eduardo
dc.contributor.authorQuiros-Lopez, Raul
dc.contributor.authorCarrascosa-Garcia, Sara
dc.contributor.authorGonzalez-Franco, Alvaro
dc.contributor.authorAndres, Emmanuel
dc.contributor.authorCasado-Cerrada, Jesus
dc.contributor.authorMontero-Perez-Barquero, Manuel
dc.date.accessioned2023-05-03T14:07:35Z
dc.date.available2023-05-03T14:07:35Z
dc.date.issued2022-06-16
dc.description.abstractBackground: Patients with heart failure encompass a heterogeneous group, but they are mostly elderly patients with a large burden of comorbid conditions. Objective: The aim of this study was to compare the clinical characteristics and the prognostic impact on hospital admissions and mortality in a population of patients with HF with different types of caregivers (family members, professionals, and the patient himself). Methods: We conducted an observational study from a prospective registry. Patients from the National Registry of Heart Failure (RICA), which belongs to the Working Group on Heart Failure and Atrial Fibrillation of the Spanish Society of Internal Medicine (SEMI), were included. Patients with heart failure were classified, according to the type of main caregiver, into four groups: the patient himself/herself, a partner, children, or a professional caregiver. A bivariable analysis was performed between the clinical, analytical, therapeutic, and prognostic characteristics of the different groups. The endpoints of the study were all-cause mortality at 1 year; mortality at 120 days; and the readmission rate for HF at 30 days, 120 days, and 1 year of follow-up. In all cases, the level of statistical significance was set at p< 0.05. Results: A total of 2147 patients were enrolled in this study; women represented 52.4%, and the mean age was 81 years. The partner was the caregiver for 703 patients, children were caregivers for 1097 patients, 199 patients had a professional caregiver, and only 148 patients were their own caregivers. Women were more frequently cared for by their children (65.8%) or a professional caregiver (61.8%); men were more frequently cared for by their spouses (68.7%) and more frequently served as their own caregivers (59.5%) (p < 0.001). No statistically significant differences were observed in relation to readmissions or mortality at one year of follow-up between the different groups. A lower probability of readmission and death was observed for patients who received care from a partner or children/relative, with log-rank scores of 11.2 with p= 0.010 and 10.8 with p = 0.013. Conclusions: Our study showed that the presence of a family caregiver for elderly patients with heart failure was associated with a lower readmission rate and a lower mortality rate at 120 days of follow-up. Our study also demonstrated that elderly patients with good cognitive and functional status can be their own caregivers, as they obtained good health outcomes in terms of readmission and mortality. More prospective studies and clinical trials are needed to evaluate the impact of different types of caregivers on the outcomes of patients with heart failure.
dc.description.versionSi
dc.identifier.citationMéndez-Bailon M, Lorenzo-Villalba N, Rubio-Garcia J, Moreno-García MC, Ropero-Luis G, Martínez-Litago E, et al. Clinical Characteristics and Prognostic Relevance of Different Types of Caregivers for Elderly Patients with Acute Heart Failure-Analysis from the RICA Registry. J Clin Med. 2022 Jun 18;11(12):3516
dc.identifier.doi10.3390/jcm11123516
dc.identifier.issn2077-0383
dc.identifier.pmcPMC9225050
dc.identifier.pmid35743586
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225050/pdf
dc.identifier.unpaywallURLhttps://www.mdpi.com/2077-0383/11/12/3516/pdf?version=1655556964
dc.identifier.urihttp://hdl.handle.net/10668/21299
dc.issue.number12
dc.journal.titleJournal of clinical medicine
dc.journal.titleabbreviationJ Clin Med
dc.language.isoen
dc.organizationHospital Universitario Reina Sofía
dc.organizationInstituto Maimónides de Investigación Biomédica de Córdoba-IMIBIC
dc.organizationHospital Costa del Sol
dc.organizationÁrea de Gestión Sanitaria Serrania de Malaga
dc.page.number9
dc.publisherMDPI
dc.pubmedtypeJournal Article
dc.relation.publisherversionhttps://www.mdpi.com/2077-0383/11/12/3516
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCaregivers
dc.subjectHeart failure
dc.subjectHospital readmission
dc.subjectMortality
dc.subject.decsEstado funcional
dc.subject.decsEstudios prospectivos
dc.subject.decsEvaluación de resultado en la atención de salud
dc.subject.decsFibrilación atrial
dc.subject.decsInsuficiencia cardíaca
dc.subject.decsPronóstico
dc.subject.decsReadmisión del paciente
dc.subject.meshAtrial fibrillation
dc.subject.meshPatient readmission
dc.subject.meshProspective studies
dc.subject.meshPrognosis
dc.subject.meshSpouses
dc.subject.meshFunctional status
dc.subject.meshHeart failure
dc.subject.meshOutcome assessment, health care
dc.titleClinical Characteristics and Prognostic Relevance of Different Types of Caregivers for Elderly Patients with Acute Heart Failure-Analysis from the RICA Registry.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number11
dspace.entity.typePublication

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