Prevalence of heart failure in nursing homes: a systematic literature review.
BACKGROUND
Heart failure is an important problem in western countries. In nursing home residents heart failure is expected to be highly prevalent. However, accurate diagnosis of heart failure in these patients is often hampered due to atypical findings and concomitant co-morbidity. In order to deliver adequate nursing care and medical treatment, it is important to get insight into the prevalence of heart failure in this target group of patients.


OBJECTIVE
To assess the prevalence of heart failure as well as the co-morbidity interfering with heart failure in nursing home residents.


RESULTS
A systematic literature review was conducted in Medline, Embase, Cinahl and the Cochrane Library. Ten studies were ultimately included. Findings indicate that the mean prevalence of heart failure is 20% (range 15-45%) and that there is a significant level of co-morbidity (dementia, diabetes mellitus and chronic obstructive pulmonary disease) in nursing home residents with heart failure.


CONCLUSIONS
The reported prevalence of heart failure in nursing home residents is higher than in the general population and is associated with considerably co-morbidity. However there are also indications that the prevalence of heart failure in nursing home residents is underestimated, negatively affecting quality of life and quality of care. Therefore, prospective prevalence studies and studies aiming to improve the care for nursing home residents with heart failure are warranted.
Daamen
Mariëlle A M J
MA
MeanderGroep Zuid-Limburg Kerkrade and School for Public Health & Primary Care, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The Netherlands. m.vandervelden@zw.unimaas.nl
Schols
Jos M G A
JM
Jaarsma
Tiny
T
Hamers
Jan P H
JP
D000368:Aged; D006333:Heart Failure / Q000453:epidemiology*; D006801:Humans; D009735:Nursing Homes / Q000706:statistics & numerical data*