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CRITICAL CARE MEDICINE JOURNAL OF INTERNAL MEDICINE With End-of-Life Practice Heart Failure in Old an Experience Congestive Age: at a Mechanisms 4-Year and University Hospital Prevalence, Prognosis in the Helsinki Ageing Study To describe a with an end-of-life Objective: 10-yr experience prac¬ tice in a To examine the abnor¬ hospital. Objective: prevalence, underlying diseases, A was Design: nonexperimental, prospective, descriptive design malities of left ventricular function and in heart prognosis congestive to used record variables from a convenience of trans¬ sample patients failure (CHF) of old age. ferred to the Care Team. Comprehensive Supportive A clinical and Design: population-based echocardiographic study Detroit is an Setting: Receiving Hospital urban, university- with a 4-year mortality follow-up. Level I affiliated, trauma/emergency hospital. Setting: University hospital. Patients: Patients who are not to survive in expected hospitalization, Five hundred and one individuals born 1904.1909 and Subjects: and for whom a decision has been made to focus care on in¬ 1914 palliative (367 women). are candidates for care this terventions, by practice. Main Outcome Measures: Presence of CHF clinical and chest by Interventions: None. size criteria: left ventricular and function echo- radiograph systolic by Measurements and Main Results: Patient includ¬ demographics, of aortic and mitral
JAMA – American Medical Association
Published: Oct 22, 1997
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