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More 'malignant' than cancer? Five-year survival following a first admission for heart failure.
- Source :
-
European Journal of Heart Failure . Jun2001, Vol. 3 Issue 3, p315-322. 8p. - Publication Year :
- 2001
-
Abstract
- <bold>Background: </bold>The prognostic impact of heart failure relative to that of 'high-profile' disease states such as cancer, within the whole population, is unknown.<bold>Methods: </bold>All patients with a first admission to any Scottish hospital in 1991 for heart failure, myocardial infarction or the four most common types of cancer specific to men and women were identified. Five-year survival rates and associated loss of expected life-years were then compared.<bold>Results: </bold>In 1991, 16224 men had an initial hospitalisation for heart failure (n=3241), myocardial infarction (n=6932) or cancer of the lung, large bowel, prostate or bladder (n=6051). Similarly, 14842 women were admitted for heart failure (n=3606), myocardial infarction (n=4916), or cancer of the breast, lung, large bowel or ovary (n=6320). With the exception of lung cancer, heart failure was associated with the poorest 5-year survival rate (approximately 25% for both sexes). On an adjusted basis, heart failure was associated with worse long-term survival than bowel cancer in men (adjusted odds ratio, 0.89; 95% CI, 0.82-0.97; P<0.01) and breast cancer in women (odds ratio, 0.59; 95% CI, 0.55-0.64; P<0.001). The overall population rate of expected life-years lost due to heart failure in men was 6.7 years/1000 and for women 5.1 years/1000.<bold>Conclusion: </bold>With the notable exception of lung cancer, heart failure is as 'malignant' as many common types of cancer and is associated with a comparable number of expected life-years lost. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEART failure
*HOSPITAL admission & discharge
*SURVIVAL analysis (Biometry)
*CANCER patients
*DISEASES
*PROGNOSIS
*MYOCARDIAL infarction complications
*AGE distribution
*BREAST tumors
*COMPARATIVE studies
*CONFIDENCE intervals
*LIFE expectancy
*LONGITUDINAL method
*LUNG tumors
*RESEARCH methodology
*MEDICAL cooperation
*MYOCARDIAL infarction
*OVARIAN tumors
*PATIENTS
*RESEARCH
*SEX distribution
*SURVIVAL
*TUMORS
*EVALUATION research
*RETROSPECTIVE studies
*DISEASE complications
MYOCARDIAL infarction-related mortality
Subjects
Details
- Language :
- English
- ISSN :
- 13889842
- Volume :
- 3
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- European Journal of Heart Failure
- Publication Type :
- Academic Journal
- Accession number :
- 44559078
- Full Text :
- https://doi.org/10.1016/S1388-9842(00)00141-0