000171775 001__ 171775
000171775 005__ 20260603114407.0
000171775 0247_ $$2doi$$a10.3390/jcm11123516
000171775 0248_ $$2sideral$$a149503
000171775 037__ $$aART-2022-149503
000171775 041__ $$aeng
000171775 100__ $$aMéndez-Bailon, Manuel
000171775 245__ $$aClinical Characteristics and Prognostic Relevance of Different Types of Caregivers for Elderly Patients with Acute Heart Failure—Analysis from the RICA Registry
000171775 260__ $$c2022
000171775 5060_ $$aAccess copy available to the general public$$fUnrestricted
000171775 5203_ $$aBackground: 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.
000171775 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000171775 590__ $$a3.9$$b2022
000171775 591__ $$aMEDICINE, GENERAL & INTERNAL$$b58 / 169 = 0.343$$c2022$$dQ2$$eT2
000171775 592__ $$a0.935$$b2022
000171775 593__ $$aMedicine (miscellaneous)$$c2022$$dQ1
000171775 594__ $$a5.4$$b2022
000171775 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000171775 700__ $$aLorenzo-Villalba, Noel
000171775 700__ $$0(orcid)0000-0002-4769-7154$$aRubio-Garcia, Jorge$$uUniversidad de Zaragoza
000171775 700__ $$aMoreno-García, María Carmen
000171775 700__ $$aRopero-Luis, Guillermo
000171775 700__ $$aMartínez-Litago, Eduardo
000171775 700__ $$aQuirós-López, Raúl
000171775 700__ $$aCarrascosa-García, Sara
000171775 700__ $$aGonzález-Franco, Alvaro
000171775 700__ $$aAndrès, Emmanuel
000171775 700__ $$aCasado-Cerrada, Jesús
000171775 700__ $$aMontero-Pérez-Barquero, Manuel
000171775 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000171775 773__ $$g11, 12 (2022), 3516 [9 pp.]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000171775 8564_ $$s625882$$uhttps://zaguan.unizar.es/record/171775/files/texto_completo.pdf$$yVersión publicada
000171775 8564_ $$s2980670$$uhttps://zaguan.unizar.es/record/171775/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000171775 909CO $$ooai:zaguan.unizar.es:171775$$particulos$$pdriver
000171775 951__ $$a2026-06-03-11:05:06
000171775 980__ $$aARTICLE