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Research Article
 
DOI:10.11909/j.issn.1671-5411.2020.09.008
The aging burden of hospitalization for heart failure in Chinese populations: evidence from the Macao Heart Failure Study
Zhi-Nan LU,Mario Evora,Edmundo Lao,Man Ieng Pun,Weng Hong Pun,Monica Pon,Kong Chu,Pui I Ieong,Toi-Meng Mok,Yong-Jian WU.The Aging Burden of Hospitalization for Heart Failure in Chinese Populations: Evidence from the Macao Heart Failure StudyJ Geriatr Cardiol 2020,17(9):533~543
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Authors:Zhi-Nan LU1;Mario Evora2;Edmundo Lao2;Man Ieng Pun3;Weng Hong Pun4;Monica Pon4;Kong Chu4;Pui I Ieong4;Toi-Meng Mok4;Yong-Jian WU5

Author Affiliation:1.Coronary Heart Disease Center, Cardiology Department, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China;2.Centro Hospitalar Conde de Sao Januario, Macao, SAR, China;3.Centro Hospitalar Conde de Sao Januário, Macao, SAR, China;4.Centro Hospitalar Conde de Sao Januario, Macao, SAR, China;5.Coronary Heart Disease Center, Cardiology Department, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

Foundation:

Abstract: Objective To assess the aging burden of hospitalization for heart failure in Chinese populations in Macao. Methods The Macao Heart Failure Study consists of patients hospitalized with a diagnosis of acute heart failure (AHF) at Centro Hospitalar Conde de S?o Januário (the only public hospital that provides medical care for the approximately 600,000 residents of Macao) from January 2014 to December 2016. First, we investigated the relationship between socioeconomic development and epidemiological characteristics of HF in Macao. Then we assessed the patients’ clinical features and outcomes according to the age groups. Results A total of 967 patients were included in the final analysis. The median age at admission was 82 years old. The advanced age at the admission of HF in Macao was significantly associated with a high-income level and the aging population structure. Marked heterogeneity existed in the epidemiological characteristics, clinical features, utilization of evidence-based therapies, short- and long-term outcomes, and prognostic utility of clinical variables among the different age groups. Conclusion Rapid economic development and significantly aging populations have produced a profound impact on the epidemiological characteristics of HF in Chinese populations. Acute decompensated heart failure (ADHF) is predominantly a disease of the elderly in Macao, and a significant heterogeneity exists in the clinical features, managements, and outcomes among different age groups. Age-based risk stratification models and multidisciplinary HF teams are urgently needed to improve the management and outcomes of hospitalized heart failure (HHF) patients.

Keywords:

Cardiac risk factors and prevention; Heart failure; The elderly
Received:August 14, 2020        Accepted:September 25, 2020   Published Online:September 28, 2020
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