To determine the characteristics and geriatric comorbidities (such as cognitive disorders, mood disorders, mobility disorders, functional decline, caregiverburden) of heart failure patients aged 70 years and over at heart failure outpatient clinic.
ID
Source
Brief title
Condition
- Other condition
- Heart failures
- Dementia and amnestic conditions
Synonym
Health condition
geriatrische comorbiditeit
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
prevalence, type and severity of cognition disorders
Secondary outcome
Mood measured by GDS
Mobility measured by Tinetti gait and balance test and Time-up and go test
Functional performance measured by GARS and Jamar handdynamometer
Comorbidity measured by CIRS-G
Quality of life measured by MOS-20
Caregiver burden measured by Zarit
Medication by dutch version of Brief medication questionnaire
Use of Health resources by admission to a hospital last year (cardiac and non
cardiac causes) and number of visits to the outpatient clinic and reason
Severity of heart failure (NYHA)
Background summary
Elderly HF patients have more geriatric co-morbidity, such as cognitive and
mood disorders, and disability. This is in contrast to the younger HF
population, which has more cardiovascular related co-morbidity such as diabetes
and hypertension. The characteristics of elderly HF patients seen by the
geriatrician or general physician (GP) are remarkably different from the HF
patients as seen by a cardiologist. The HF patients seen by GP*s are in general
several years older, are more women, and have a higher ejection fraction
compared to cardiology HF patients.
Besides a different pattern of comorbidity also the goal of care in these
patients is different. In these eldery not improvement in survival is the
primary goal, but improving symptoms, preventing acute exacerbation,
independent functioning and enhancement of quality of life. In the near future
there will be more elderly patients suffering from heart failure. Therefore it
is very important to achieve more information about these eldery heart failure
patients with their specific geriatric comorbidities so that intervention
programmes can be specificly tailored for elderly heart failure patients.
Study objective
To determine the characteristics and geriatric comorbidities (such as cognitive
disorders, mood disorders, mobility disorders, functional decline,
caregiverburden) of heart failure patients aged 70 years and over at heart
failure outpatient clinic.
Study design
cross sectional, descriptive
Study burden and risks
We estimated that this research takes about three hours for a participant with
in that three hours enough moments for a little rest. We use standardised
questionnaires, perform measurements of blood pressure, pulse, height and
weight. Bloodtest are only performed if this isn't done recently by their own
cardiologist. The burden associated with participation consist of a time
investment of 3 hours. There are no risks associated with participation.
postbus 9101
6500 HB Nijmegen
Nederland
postbus 9101
6500 HB Nijmegen
Nederland
Listed location countries
Age
Inclusion criteria
aged 70 years and over, confirmed diagnosis of heart failure, BNP>100pmol/l, community dwelling or living in residence for elderly at the start of the study, able to visit the cardiology outpatient clinic, written informed consent
Exclusion criteria
uncertain diagnosis of heart failure, acute disease or acute care needed, dialysis, life-expectancy less than 3 months, no full comprehension and use of dutch language, patients with a documented diagnosis of dementia
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL13454.091.06 |