Epidemiology of heart failure.
Epidemiology of heart failure.
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DOI：
10.1161/circresaha.113.300268
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发表时间：
2013-08-30
影响因子：
20.1
通讯作者：
Roger VL
中科院分区：
文献类型：
--
作者：
Roger VL
心力衰竭(HF)已被列为一种流行病，是一个令人震惊的临床和公共卫生问题，与巨大的死亡率、发病率和医疗支出有关，特别是在65岁及以上的人群中。心力衰竭的病例组合随着时间的推移而变化，越来越多的病例表现为射血分数保留，但没有特定的治疗方法。尽管在降低心力衰竭相关死亡率方面取得了进展，但因心力衰竭住院的情况仍然非常频繁，再次住院率继续上升。为了防止住院，全面描述心力衰竭患者再入院的预测因素是非常必要的，并且必须结合与共存疾病相关的多病的影响。需要新的以患者为中心的护理模式，利用基于社区的资源来支持患有复杂共存疾病的心衰患者，以减少住院人数。
Heart failure (HF) has been singled out as an epidemic and is a staggering clinical and public health problem, associated with significant mortality, morbidity, and healthcare expenditures, particularly among those aged 65 and older. The case mix of HF is changing over time with a growing proportion of cases presenting with preserved ejection fraction for which there is no specific treatment. Despite progress in reducing HF-related mortality, hospitalizations for HF remain very frequent and rates of readmissions continuing to rise. To prevent hospitalizations, a comprehensive characterization of predictors of readmission in patients with HF is imperative and must integrate the impact of multimorbidity related to coexisting conditions. New models of patient-centered care that draw upon community-based resources to support HF patients with complex coexisting conditions are needed to decrease hospitalizations.