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End-of-Life Care and Congestive Heart Failure

End-of-Life Care and Congestive Heart Failure The article by Jong et al1 examining mortality in patients with congestive heart failure concludes, Despite recent advances in medical treatment, we found persistent high mortality rates in our contemporary cohort of heart failure patients. This finding should be a sobering note to the medical community that much more remains to be done to improve the outcomes of this seriously ill population than is currently believed. There are 2 problems with this conclusion. First, until much more is done, end-of-life care will remain an integral but easily overlooked aspect of care for patients with heart failure. Second, given that the death rate was especially high in frail elderly patients, it is not completely obvious how much more needs to be done. The goal of medical treatments is to prevent premature death, not death itself. References 1. Jong PVowinckel ELiu PPGong YTu JV Prognosis and determinants of survival in patients newly hospitalized for heart failure: a population-based study. Arch Intern Med. 2002;1621689- 1694Google ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

End-of-Life Care and Congestive Heart Failure

Archives of Internal Medicine , Volume 163 (6) – Mar 24, 2003

End-of-Life Care and Congestive Heart Failure

Abstract

The article by Jong et al1 examining mortality in patients with congestive heart failure concludes, Despite recent advances in medical treatment, we found persistent high mortality rates in our contemporary cohort of heart failure patients. This finding should be a sobering note to the medical community that much more remains to be done to improve the outcomes of this seriously ill population than is currently believed. There are 2 problems with this conclusion. First, until much more is...
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Publisher
American Medical Association
Copyright
Copyright © 2003 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.163.6.737-a
Publisher site
See Article on Publisher Site

Abstract

The article by Jong et al1 examining mortality in patients with congestive heart failure concludes, Despite recent advances in medical treatment, we found persistent high mortality rates in our contemporary cohort of heart failure patients. This finding should be a sobering note to the medical community that much more remains to be done to improve the outcomes of this seriously ill population than is currently believed. There are 2 problems with this conclusion. First, until much more is done, end-of-life care will remain an integral but easily overlooked aspect of care for patients with heart failure. Second, given that the death rate was especially high in frail elderly patients, it is not completely obvious how much more needs to be done. The goal of medical treatments is to prevent premature death, not death itself. References 1. Jong PVowinckel ELiu PPGong YTu JV Prognosis and determinants of survival in patients newly hospitalized for heart failure: a population-based study. Arch Intern Med. 2002;1621689- 1694Google ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Mar 24, 2003

Keywords: end-of-life care,congestive heart failure

References

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