title: [Heart failure in nursing home residents].
abstract: To determine the prevalence of heart failure (HF) in nursing home residents and to gain insight into the clinical characteristics of residents with heart failure.
  
  
  
  Multi-centre, observational, cross-sectional study.
  
  
  
  501 nursing home residents aged 65 years and over, in a department for chronic somatic diseases or a psychogeriatric department, participated in this study. The diagnosis of HF and the related characteristics were based on data collected from clinical examinations for heart failure (including history, physical examination, ECG, cardiac markers and echocardiography), patient records and questionnaires. A panel of two cardiologists and an internist-geriatrician made the final diagnosis of HF.
  
  
  
  The prevalence of HF in nursing home residents was 33%. Dyspnoea, oedema and a history of cardiac disease were more common in residents with heart failure. Diabetes mellitus and chronic obstructive pulmonary disease also appeared to be more prevalent in this group. In 54% of the residents with HF, the diagnosis had not previously been made. Diagnosis of HF was not confirmed by the expert panel in 31% of residents with a history of HF.
  
  
  
  Heart failure does indeed appear to be very prevalent in nursing home residents. Heart failure had not been previously diagnosed in many cases but also a previous diagnosis of heart failure could be disproved in many participants. It is therefore important that the diagnostic process for heart failure in nursing home residents be improved.
authors.affiliation: *Dit onderzoek werd eerder gepubliceerd in BMC Geriatrics (2015;15:167) met als titel 'Heart failure in nursing home residents; a cross-sectional study to determine the prevalence and clinical characteristics'. Oorspronkelijke auteurs: M.A.M.J. Daamen, J.P.H. Hamers, A.P.M. Gorgels, H.P. Brunner-La Rocca, F.E.S. Tan, M.P. van Dieijen-Visser en J.M.G.A. Schols. Afgedrukt met toestemming.
authors.forename: M A M J
authors.initials: MA
authors.lastname: Daamen
authors.forename: J P H
authors.initials: JP
authors.lastname: Hamers
authors.forename: H P
authors.initials: HP
authors.lastname: Brunner-la Rocca
authors.forename: J M G A
authors.initials: JM
authors.lastname: Schols
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D004417:Dyspnea / Q000453:epidemiology; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000453:epidemiology*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008499:Medical Records; D009735:Nursing Homes / Q000706:statistics & numerical data*; D015995:Prevalence; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology; D011795:Surveys and Questionnaires