Heart Transplants: Age is No Barrier to Successful Surgery

Journal of the American Geriatrics Society Research Summary

A new study published in the Journal of the American Geriatrics Society suggests that survival rates after heart transplant surgery are similar in adults ages 18 to 69 and adults ages 70 and older.

Researchers examined a large U.S. database of patients who were listed as candidates for surgery to replace their failing hearts with healthier donor hearts. The researchers found that:

  • Only 1 in 50 people who are considered for heart transplant surgery and 1 in 50 people who receive a heart transplant are ages 70 or older.
  • For older adults in the study, the likelihood of surviving one or five years after a heart transplant was about the same as for younger adults.
  • Having a stroke after heart transplant surgery was more common in older adults, but the risk in both age groups was low.
  • Older patients were more likely to receive hearts from higher-risk donors, who are older and more likely to have diabetes and high blood pressure.
  • Advanced age alone should not prevent people from being considered as candidates for heart transplants.

Why We May Need Heart Transplants as We Age Continue reading

Care at Home Lessens Risk of Hospital Re-Admission within 30 Days Following Hospitalization for Heart Failure

Journal of the American Geriatrics Society Research Summary

Older adults who are recovering from heart failure often leave the hospital to stay at rehabilitation facilities (also called skilled nursing facilities) before they return home. However, healthcare practitioners know that the stress of the transitioning from hospital to skilled nursing facility and back to a person’s home can result in an older adult’s readmission to the hospital within 30 days after their discharge.

For that reason, older adults who have heart failure may do better when they get home health care once they return home after their discharges from the hospital and skilled nursing facility.

To learn more, a team of researchers studied the association between hospital readmission risk and receiving home health care after leaving skilled nursing facilities. To do so, they examined the records of Medicare patients, aged 65 and older, who had returned home from skilled nursing facilities following hospitalization for heart failure. Their study was published in the Journal of the American Geriatrics Society. Continue reading

For Older Adults with Heart Failure: Can Taking Too Many Medications Reduce the Ability to Perform Daily Activities?

Journal of the American Geriatrics Society Research Summary

As we age, we tend to develop a number of chronic health conditions and concerns. Often, managing health problems can mean that older adults may take many different medications. When older adults take five or more medicines (a scenario health experts call “polypharmacy”), it can increase the risk of harmful side effects.

Polypharmacy can contribute to serious problems including falls, disability, and hospitalizations. Taking more than five medications is especially common among older adults with heart failure, which is the leading cause of hospitalization for people age 65 and older. Doctors often prescribe several different drugs to improve heart failure, but this can increase your risk of harmful side effects and interactions between your medications. Older adults who have trouble performing routine daily activities are at a particularly high risk for the negative effects of taking a large number of medications.

In a new study, researchers examined whether limitations in older adults’ abilities to perform their routine daily activities were linked to taking multiple medications for heart failure. They published their study in the Journal of the American Geriatrics Society. Continue reading

Having Multiple Chronic Illnesses Plus Functional Limitations Increases Risk of Death among Older Adults with Heart Failure

Journal of the American Geriatrics Society Research Summary

Heart failure affects more than 6 million people in the U.S.—most of whom are older adults. Roughly half the older adults who have heart failure also live with five or more other chronic health conditions. This group of people may have difficulty performing daily activities, such as walking, bathing, and eating. And older adults who have multiple chronic illnesses plus heart failure generally require more frequent health care, including more visits to healthcare providers and hospitalizations.

Recently, researchers examined the impact of having multiple chronic conditions and having difficulty with daily activities on the health of older adults with heart failure. Until now, there’s been no research on the combined effects of having all three problems for older adults. The researchers published their findings in the Journal of the American Geriatrics Society.

The researchers sent questionnaires to 6,346 older adults who had been diagnosed with heart failure; 2,692 participants returned the questionnaires and were included in the study. Continue reading