title: End-of-life Heart Failure Care in the United States.
abstract: Heart failure (HF) is increasingly common in the United States and is associated with a high degree of morbidity and mortality. As patients approach the end of life there is a significant increase in health care resource use. Patients with end-stage HF have a unique set of needs at the end of life, including symptoms such as dyspnea, uremia, and depression, as well as potentially deactivating implantable defibrillators and mechanical circulatory support devices. Improved palliative care services for patients with HF may improve quality of life and decrease health care resource use near the end of life.
authors.affiliation: Department of Medicine, Duke University Medical Center, Duke Medical Hospital, Medical Residency Office/Room 8254DN, 2301 Erwin Road, Durham, NC 27710, USA. Electronic address: jonathan.buggey@duke.edu.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Buggey
authors.affiliation: Division of Cardiology, Department of Medicine, Duke University Medical Center, Duke Clinical Research Institute, 2400 Pratt Street, Durham, NC 27710, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Mentz
authors.affiliation: Division of Palliative Care, Department of Medicine, Duke University Medical Center, PO Box 3003, DUMC, Durham, NC 27710, USA.
authors.forename: Anthony N
authors.initials: AN
authors.lastname: Galanos
mesh_terms: D006333:Heart Failure / Q000175:diagnosis / Q000191:economics / Q000401:mortality / Q000628:therapy*; D017051:Hospice Care / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D010166:Palliative Care / Q000706:statistics & numerical data; D011788:Quality of Life; D012042:Registries; D013727:Terminal Care / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
keywords: End of life; Heart failure; Palliative care; United States