Document Detail

Heart failure mortality among older Medicare beneficiaries: association with left ventricular function evaluation and angiotensin-converting enzyme inhibitor use.
MedLine Citation:
PMID:  12630634     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Left ventricular function evaluation and angiotensin-converting enzyme (ACE) inhibitor use are the two basic indicators of heart failure quality of care. In this retrospective follow-up study, we analyzed the association between these two quality indicators and mortality in elderly hospitalized heart failure patients. METHODS: The patients in our study were older Alabama Medicare beneficiaries discharged with a diagnosis of heart failure in 1994. Cox regression analyses, adjusted for various patient and care characteristics, were performed to estimate the overall mortality rate. RESULTS: The mean age of the 1,090 patients in our study was 79+/-7.5 years. Both left ventricular function evaluation (hazard ratio, 0.83; 95% confidence interval, 0.705-0.976) and ACE inhibitor use (hazard ratio, 0.77; 95% confidence interval, 0.655-0.905) were associated with a lower 3-year mortality rate. Adjustment for various patient and care characteristics did not alter these associations. CONCLUSION: Left ventricular function evaluation and ACE inhibitor use were each associated with increased survival time in older Medicare beneficiaries with heart failure.
Ali Ahmed; Richard Maisiak; Richard M Allman; James F DeLong; Robert Farmer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Southern medical journal     Volume:  96     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-12     Completed Date:  2003-03-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-9     Citation Subset:  AIM; IM    
Division of Gerontology and Geriatric Medicine, Department of Medicine, Center for Aging, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294-2041, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Angiotensin-Converting Enzyme Inhibitors / adverse effects*,  therapeutic use*
Follow-Up Studies
Heart Failure / complications,  drug therapy*,  mortality*
Hospitalization / statistics & numerical data
Medicare / statistics & numerical data*
Patient Discharge / statistics & numerical data
Proportional Hazards Models
Quality of Health Care / statistics & numerical data*
Retrospective Studies
Survival Rate
Ventricular Dysfunction, Left / complications,  drug therapy*,  mortality*
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors
Erratum In:
South Med J. 2003 Apr;96(4):418

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