Search: WFRF:(Van Veldhuisen Dirk J.) >
Comorbidities compl...
Comorbidities complicating heart failure: changes over the last 15 years
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- Screever, Elles M. (author)
- Univ Groningen, Netherlands
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- van der Wal, Martje H. L. (author)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för omvårdnad och reproduktiv hälsa,Univ Groningen, Netherlands
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- van Veldhuisen, Dirk J. (author)
- Univ Groningen, Netherlands
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- Jaarsma, Tiny, Professor, 1964- (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
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- Koops, Astrid (author)
- Univ Groningen, Netherlands
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- van Dijk, Kuna S. (author)
- Univ Groningen, Netherlands
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- Warink-Riemersma, Janke (author)
- Univ Groningen, Netherlands
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- Coster, Jenifer E. (author)
- Univ Groningen, Netherlands
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- Westenbrink, B. Daan (author)
- Univ Groningen, Netherlands
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- van der Meer, Peter (author)
- Univ Groningen, Netherlands
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- de Boer, Rudolf A. (author)
- Univ Groningen, Netherlands
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- Meijers, Wouter C. (author)
- Univ Groningen, Netherlands
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(creator_code:org_t)
- 2022-08-17
- 2023
- English.
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In: Clinical Research in Cardiology. - : Springer Heidelberg. - 1861-0684 .- 1861-0692. ; 112:1, s. 123-133
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
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- Aims Management of comorbidities represents a critical step in optimal treatment of heart failure (HF) patients. However, minimal attention has been paid whether comorbidity burden and their prognostic value changes over time. Therefore, we examined the association between comorbidities and clinical outcomes in HF patients between 2002 and 2017. Methods and results The 2002-HF cohort consisted of patients from The Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH) trial (n = 1,032). The 2017-HF cohort were outpatient HF patients enrolled after hospitalization for HF in a tertiary referral academic hospital (n = 382). Kaplan meier and cox regression analyses were used to assess the association of comorbidities with HF hospitalization and all-cause mortality. Patients from the 2017-cohort were more likely to be classified as HF with preserved ejection fraction (24 vs 15%, p < 0.001), compared to patients from the 2002-cohort. Comorbidity burden was comparable between both cohorts (mean of 3.9 comorbidities per patient) and substantially increased with age. Higher comorbidity burden was significantly associated with a comparable increased risk for HF hospitalization and all-cause mortality (HR 1.12 [1.02-1.22] and HR 1.18 [1.05-1.32]), in the 2002- and 2017-cohort respectively. When assessing individual comorbidities, obesity yielded a statistically higher prognostic effect on outcome in the 2017-cohort compared to the 2002-HF cohort (p for interaction 0.026). Conclusion Despite major advances in HF treatment over the past decades, comorbidity burden remains high in HF and influences outcome to a large extent. Obesity emerges as a prominent comorbidity, and efforts should be made for prevention and treatment. [GRAPHICS] .
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Comorbidities; Heart failure; Hospitalization; Mortality; Obesity
Publication and Content Type
- ref (subject category)
- art (subject category)
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Screever, Elles ...
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van der Wal, Mar ...
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van Veldhuisen, ...
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Jaarsma, Tiny, P ...
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Koops, Astrid
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van Dijk, Kuna S ...
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Warink-Riemersma ...
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Coster, Jenifer ...
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Westenbrink, B. ...
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van der Meer, Pe ...
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de Boer, Rudolf ...
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Meijers, Wouter ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Clinical Researc ...
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Linköping University