Source:http://linkedlifedata.com/resource/pubmed/id/15383406
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2004-9-22
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pubmed:abstractText |
Congestive heart failure (CHF) definitions vary across epidemiologic studies. The Framingham Heart Study criteria include CHF signs and symptoms assessed by a physician panel. In the Cardiovascular Health Study, a committee of physicians adjudicated CHF diagnoses, confirmed by signs, symptoms, clinical tests, and/or medical therapy. The authors used data from the Cardiovascular Health Study, a population-based cohort study of 5,888 elderly US adults, to compare CHF incidence and survival patterns following onset of CHF as defined by Framingham and/or Cardiovascular Health Study criteria. They constructed an inception cohort of nonfatal, hospitalized CHF patients. Of 875 participants who had qualifying CHF hospitalizations between 1989 and 2000, 54% experienced a first CHF event that fulfilled both sets of diagnostic criteria (concordant), 31% fulfilled only the Framingham criteria (Framingham only), and 15% fulfilled only the Cardiovascular Health Study criteria (Cardiovascular Health Study only). No significant survival difference was found between the Framingham-only group (hazard ratio = 0.87, 95% confidence interval: 0.71, 1.07) or the Cardiovascular Health Study-only group (hazard ratio = 0.89, 95% confidence interval: 0.68, 1.15) and the concordant group (referent). Compared with Cardiovascular Health Study central adjudication, Framingham criteria for CHF identified a larger group of participants with incident CHF, but all-cause mortality rates were similar across these diagnostic classifications.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/1-T32-HL07902,
http://linkedlifedata.com/resource/pubmed/grant/AG09556,
http://linkedlifedata.com/resource/pubmed/grant/HL43201,
http://linkedlifedata.com/resource/pubmed/grant/N01-HC-85079-86,
http://linkedlifedata.com/resource/pubmed/grant/RC-HL15103,
http://linkedlifedata.com/resource/pubmed/grant/RC-HL35129
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0002-9262
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pubmed:author |
pubmed-author:HeckbertSusan RSR,
pubmed-author:KitzmanDalane WDW,
pubmed-author:LevyDanielD,
pubmed-author:LumleyThomasT,
pubmed-author:PsatyBruce MBM,
pubmed-author:ReaThomas DTD,
pubmed-author:RogerVeronique LVL,
pubmed-author:SchellenbaumGina DGD,
pubmed-author:SmithNicholas LNL,
pubmed-author:TaylorHerman AHA
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pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
160
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
628-35
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15383406-Aged,
pubmed-meshheading:15383406-Aged, 80 and over,
pubmed-meshheading:15383406-Cohort Studies,
pubmed-meshheading:15383406-Diagnosis, Differential,
pubmed-meshheading:15383406-Female,
pubmed-meshheading:15383406-Follow-Up Studies,
pubmed-meshheading:15383406-Heart Failure,
pubmed-meshheading:15383406-Humans,
pubmed-meshheading:15383406-Incidence,
pubmed-meshheading:15383406-Male,
pubmed-meshheading:15383406-Prognosis,
pubmed-meshheading:15383406-Severity of Illness Index,
pubmed-meshheading:15383406-Survival Analysis
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pubmed:year |
2004
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pubmed:articleTitle |
Survival associated with two sets of diagnostic criteria for congestive heart failure.
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pubmed:affiliation |
Department of Epidemiology, Cardiovascular Health Research Unit, University of Washington, Seattle, WA, USA. ginas@u.washington.edu
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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