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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

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Predictors of cardiovascular outcome and rehospitalization in elderly patients with heart failure

Gian M Rosa1,2, Riccardo Scagliola1, Paola Ghione1

  • 1Clinic of Cardiovascular Diseases, University of Genoa, Genoa, Italy.

European Journal of Clinical Investigation
|October 29, 2018
PubMed

Insights

Predicting heart failure (HF) rehospitalizations in elderly patients requires a comprehensive approach. Combining biochemical, echocardiographic, and socioeconomic factors improves risk stratification and patient quality of life.

Area of Science:

  • Cardiology
  • Geriatrics
  • Public Health

Background:

  • Heart failure (HF) prevalence is increasing, particularly in the elderly.
  • Frequent HF rehospitalizations negatively impact patient quality of life and incur significant healthcare costs.
  • Identifying predictors of HF outcomes and rehospitalizations is crucial for effective management.

Purpose of the Study:

  • To review biochemical, echocardiographic, and socioeconomic parameters as predictors of clinical outcomes and rehospitalizations in heart failure patients.
  • To focus on risk stratification for elderly heart failure patients, a vulnerable population with high readmission rates.

Main Methods:

  • A narrative review of literature published in PubMed from January 2000 to March 2018.
  • Search terms included "elderly, heart failure, cardiovascular" combined with "biomarker, echocardiography, and hospitalization."

Main Results:

  • Analysis of biochemical, echocardiographic, and socioeconomic parameters for predicting cardiovascular outcomes and hospital readmissions in chronic HF.
  • Emphasis on risk stratification for elderly HF patients, identifying them as frail subjects at higher risk for readmission.

Conclusions:

  • A multiparametric approach combining biochemical, echocardiographic, demographic, and socioeconomic parameters is beneficial for risk stratification in elderly chronic HF patients.
  • This integrated approach can enhance patient quality of life and optimize financial resource allocation in healthcare.
Abstract

Keywords:
elderly patientsheart failurepredictors of rehospitalizationreadmission

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