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Palliatieve zorg voor patiënten met chronisch hartfalen: hard nodig!

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Tijdschrift voor Ouderengeneeskunde

Samenvatting

De incidentie en prevalentie van chronisch hartfalen stijgen. Ongeveer één op de drie personen van 55 jaar zal hartfalen ontwikkelen in zijn of haar verdere leven.1 De prognose van chronisch hartfalen is slechter dan van de meeste veelvoorkomende maligniteiten.2 De vijfjaarsoverleving na de diagnose is slechts 35% en de mediane overleving is 2,1 jaar.1 Chronisch hartfalen is een aandoening met hoge morbiditeit en mortaliteit.3 In 2006 overleden in Nederland 77.366 personen aan een chronische ziekte, waarvan 5.952 personen aan hartfalen. Een groot deel van de patiënten die overlijden aan hartfalen, zijn tussen de 85 en 90 jaar oud.4 De mortaliteit bij kwetsbare ouderen die in het ziekenhuis worden opgenomen met ernstig hartfalen is hoog. Tijdens de ziekenhuisopname overlijdt 33% van deze patiënten en na 1 jaar is 71% van de patiënten overleden.

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Correspondence to Daisy J. A. Janssen.

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Drs. Daisy J.A. Janssen, specialist ouderengeneeskunde / klinisch onderzoeker, Ciro, Horn, CAPHRI, Universiteit Maastricht, Maastricht, Proteion Thuis, Horn / drs. Nicole H. Uszko-Lencer, cardioloog, Ciro, Horn, MUMC+, Maastricht / prof.dr. Emiel F.M. Wouters, hoogleraar longziekten, Ciro, Horn, MUMC+, Maastricht / dr. Martijn A. Spruit, staffunctionaris, Ciro, Horn / prof.dr. Jos M.G.A. Schols, hoogleraar specialisme ouderengeneeskunde, CAPHRI, Universiteit Maastricht.

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Janssen, D.J.A., Uszko-Lencer, N.H., Wouters, E.F.M. et al. Palliatieve zorg voor patiënten met chronisch hartfalen: hard nodig!. TOGN 35, 144–149 (2010). https://doi.org/10.1007/BF03089872

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