View Single Post
Old 10-02-2013, 07:10 PM   #5
Lamplighter
Person who doesn't update the user title
 
Join Date: Jun 2010
Location: Bottom lands of the Missoula floods
Posts: 6,402
Quote:
Originally Posted by Adak View Post
<snip>You post a link to ONE, just ONE article from ANY Great Britain newspaper or BBC, about a NHS patient over the age of 65 years, who received a bone marrow transplant, or an organ transplant, and I'll re-consider the validity of what I've been hearing (and read on line).

I believe you'll find there are none, unless it was done overseas. You know, in some advanced health care country - like the US.
<snip>
A simple Google Scholar search turned up this article...

Quote:
Heart 2000;83:505–510
• Cardiovascular medicine
Survival of patients with a new diagnosis of heart failure: a population based study
• Accepted 31 January 2000

Abstract
OBJECTIVE To describe the survival of a population based cohort of patients with incident (new) heart failure and the clinical features associated with mortality.
DESIGN A population based observational study.
SETTING Population of 151 000 served by 82 general practitioners in west London.
PATIENTS New cases of heart failure were identified by daily surveillance of acute hospital admissions to the local district general hospital, and by general practitioner referral of all suspected new cases of heart failure to a rapid access clinic.
INTERVENTIONS All patients with suspected heart failure underwent clinical assessment, and chest radiography, ECG, and echocardiogram were performed. A panel of three cardiologists reviewed all the data and determined whether the definition of heart failure had been met. Patients were subsequently managed by the general practitioner in consultation with the local cardiologist or admitting physician.
RESULTS There were 90 deaths (83 cardiovascular deaths) in the cohort of 220 patients with incident heart failure over a median follow up of 16 months. Survival was 81% at one month, 75% at three months, 70% at six months, 62% at 12 months, and 57% at 18 months. Lower systolic blood pressure, higher serum creatinine concentration, and greater extent of crackles on auscultation of the lungs were independently predictive of cardiovascular mortality (all p < 0.001).
CONCLUSIONS In patients with new heart failure, mortality is high in the first few weeks after diagnosis. Simple clinical features can identify a group of patients at especially high risk of death.
In the very first table of this article (TABLE 1) hospital admission. In such cases, the clinical

Table 1 Clinical features of the 220 incident cases of heart failure
Demographics, history, aetiology

Age (years) 76 (67 to 83) (range 29 to 95 years)
Sex 118 (54%) men
102 (46%) women
<snip>
Your "reconsideration" should begin NOW
Lamplighter is offline   Reply With Quote