Abstract
Heart failure (HF) is a complex syndrome in which structural or functional cardiac abnormalities impair the filling of ventricles or left ventricular ejection of blood. HF disproportionately occurs in those ≥65 years of age. 1 Go A.S. Mozaffarian D. Roger V.L. Benjamin E.J. Berry J.D. Blaha M.J. Dai S. Ford E.S. Fox C.S. Franco S. Fullerton H.J. Gillespie C. Hailpern S.M. Heit J.A. Howard V.J. Huffman M.D. Judd S.E. Kissela B.M. Kittner S.J. Lackland D.T. Lichtman J.H. Lisabeth L.D. Mackey R.H. Magid D.J. Marcus G.M. Marelli A. Matchar D.B. McGuire D.K. Mohler 3rd, E.R. Moy C.S. Mussolino M.E. Neumar R.W. Nichol G. Pandey D.K. Paynter N.P. Reeves M.J. Sorlie P.D. Stein J. Towfighi A. Turan T.N. Virani S.S. Wong N.D. Woo D. Turner M.B. on behalf of the American Heart Association Statistics Committee and Stroke Statistics SubcommitteeHeart disease and stroke statistics—2014 update: a report from the American Heart Association. Circulation. 2014; 129: e28-e292 Crossref PubMed Scopus (512) Google Scholar Among the estimated 1.5 to 2 million residents in skilled nursing facilities (SNFs) in the United States, cardiovascular disease is the largest diagnostic category, and HF is common. 2 Ahmed A.A. Hays C.I. Liu B. Aban I.B. Sims R.V. Aronow W.S. Ritchie C.S. Ahmed A. Predictors of in-hospital mortality among hospitalized nursing home residents: an analysis of the National Hospital Discharge Surveys 2005–2006. J Am Med Dir Assoc. 2010; 11: 52-58https://doi.org/10.1016/j.jamda.2009.08.003 Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar , 3 Jones A.L. Dwyer L.L. Bercovitz A.R. Strahan G.W. The National Nursing Home Survey: 2004 overview. Vital Health Stat 13. 2009; : 1-155 PubMed Google Scholar Despite the high prevalence of HF in SNF residents, none of the large randomized clinical trials of HF therapy included SNF residents, and very few included patients >80 years of age with complex comorbidities.
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