ERIC Number: EJ720174
Record Type: Journal
Publication Date: 2004
The Effect of Age upon Care and Outcomes in Patients Hospitalized for Congestive Heart Failure in Alberta, Canada
Cujec, Bibiana; Quan, Hude; Jin, Yan; Johnson, David
Canadian Journal on Aging, v23 n3 p255-267 Fall 2004
We describe the age-specific outcomes for patients hospitalized with newly diagnosed congestive heart failure using administrative hospital abstracts from Alberta, Canada, from April 1, 1994, to March 31, 2000. Seniors (aged 65 years and older) constituted about 85 per cent of the 16,162 patients. Both co-morbidity and severity of illness tended to increase with age. The use of special care unit admissions, coronary artery diagnostic services (cardiac catheterization), and revascularization procedures (percutaneous transluminal coronary angioplasty/stenting, coronary artery bypass surgery) peaked in the 50-to 64-year age group and decreased with increasing age. Specialist/sub-specialist care, prescriptions of beta blockers and angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers decreased with age in seniors. Adjusted in-hospital, 1-year mortality and crude, age-specific 5-year mortality were significantly greater in those 75 years and older. Outcomes and process of care in patients with newly diagnosed congestive heart failure were not uniformly distributed with age. The elderly had greater mortality but received less therapy.
Descriptors: Foreign Countries, Surgery, Patients, Age Differences, Medical Services, Heart Disorders, Outcomes of Treatment, Older Adults
University of Toronto Press, 5201 Dufferin Street, North York, Ontario M3H 5T8 Canada. Tel: 416-667-7838; Fax: 416-667-7881.
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Canada