Document Detail


[Palliative care in heart failure].
MedLine Citation:
PMID:  23196685     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The natural history of heart failure (HF) is characterized by a progressive decline in functional capacity, punctuated by acute heart destabilization episodes which contribute to a spiraling worsening course. Advanced HF affects one in four patients who are referred to the hospital for the syndrome and has an estimated yearly incidence of 12 000 new cases in Italy. Life expectancy is very limited, and in general less than 50% of advanced HF patients are alive at 1-2 years. Advanced HF patients show a high, not modifiable mortality, severe symptoms and impaired quality of life. Treatment goals should focus on the improvement of symptoms and quality of life, the aims of palliative care. Palliative consultations during hospital admissions reduce the number of interventions and procedures in the last stages of life, the length of stay in the intensive care unit and general ward. HF patients who receive home palliative care are more likely to die at home, in accordance with their expressed will. The research project RF-MAR-2007-67955 aims to analyze, through a prospective observational registry, the palliative care needs of HF patients in Italy, to answer the gaps in knowledge on symptom changes during the terminal stages of the disease, on the quality of communication between healthcare professionals, patients and their families and caregivers' needs.
Authors:
Antonello Gavazzi; Fausto Svanoni; Renata De Maria
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Giornale italiano di cardiologia (2006)     Volume:  13     ISSN:  1827-6806     ISO Abbreviation:  G Ital Cardiol (Rome)     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-30     Completed Date:  2013-02-26     Revised Date:  2014-01-02    
Medline Journal Info:
Nlm Unique ID:  101263411     Medline TA:  G Ital Cardiol (Rome)     Country:  Italy    
Other Details:
Languages:  ita     Pagination:  827-36     Citation Subset:  IM    
Vernacular Title:
Le cure palliative nello scompenso cardiaco.
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MeSH Terms
Descriptor/Qualifier:
Disease Progression
Heart Failure / diagnosis,  therapy*
Humans
Palliative Care
Prognosis
Comments/Corrections
Comment In:
G Ital Cardiol (Rome). 2013 Oct;14(10):647-9   [PMID:  24121888 ]

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