Geriatrics

Download Aging, Heart Disease, and Its Management: Facts and by Niloo M. Edwards PDF

By Niloo M. Edwards

Stories the simplest cures and surgical recommendations to be had to supply caliber deal with the aged cardiac sufferer and of these parts that require additional learn. The authors aspect preventive cures and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, middle failure (particularly diastolic middle failure), and ischemic center sickness. additionally they delineate the surgical administration of the center sufferer with discussions of postoperative administration and its issues and of particular surgeries equivalent to coronary artery pass grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of middle failure.

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Extra info for Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology)

Sample text

Is it health professionals, the general public, politicians, or patients who have the experience of the particular medical condition and treatment? The value of a QALY can change radically according to who is making the choices. Other potential problems include the fact that the responses given are to hypothetical situations and so may not accurately reflect an individual’s real decisions and the fact that valuations are influenced by the length of the illness and the way in which the questions are asked.

Cost–utility analysis: A form of analysis that measures changes in quality of life and takes into account the patient’s perspective of personal quality of life. Diagnosis Related Groups (DRGs): Groupings of diagnostic categories drawn from the International Classification of Diseases and modified by the presence of surgical procedure, patient age, comorbidities, complications, and other relevant criteria. DRGs are the case-mix measure used in Medicare’s prospective payment system. Effectiveness: A measure of the increased health benefit provided by a program or treatment.

Tertiary interventions, like coronary artery bypass grafting (CABG), represents a good value per QALY for younger patients, but the procedures are very costly, which warrants attention from policy-makers and economists with a special focus on whether these surgeries are cost-effective in the elderly population. The decision to provide tertiary intervention to this age group should be based on the same criteria used to make the determination in other age segments. In short, the decision that CABG should be performed in seniors depends primarily on three criteria: efficacy, effectiveness, and cost-effectiveness (16).

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