Cuidados paliativos
los pacientes ancianos con insuficiencia cardíaca
DOI:
https://doi.org/10.15448/2357-9641.2020.1.33815Palabras clave:
insuficiencia cardíaca, ancianos, cuidados paliativos, fragilidadResumen
Objetivos: identificar artículos nacionales y internacionales que aborden: i) los cuidados paliativos de los ancianos com insuficiencia cardíaca; ii) mejores praticas médicas actuales para el control de los sintomas y las condiciones clínicas, psicossociales y espirituales comúnmente presentadas por pacientes de edad avanzada com esta afécción clínica.
Métodos: revisión narrativa mediante la búsqueda de artículos de 2014 a 2019 en las bases de datos PubMed, Scielo, Lilacs, Scopus, utilizando los Descriptores em Ciencia y Salud(DeCS): insuficiencia cardíaca, ancianos, cuidados paliativos, y Medical Subject Headings (MeSH): heart failure, aged, elderly, palliative care.
Síntesis de los datos: se indentificaron 12 artículos sobre cuidados paliativos de pacientes com insuficiencia cardíaca, y solo 02 artículos de cuidados paliativos de ancianos com insuficiência cardíaca.
Conclusiones: um enfoque a través de la evaluación geriátrica amplia (EGA), identificación de la fragilidad y las comorbilidades, junto con habilidades específicas em el manejo de la insuficiencia cardíaca son fundamentales para um mejor desempeño de los cuidados paliativos de estos pacientes. Además, hay poca disponibilidade de estúdios originales sobre cuidados paliativos de pacientes ancianos com insuficiencia. .cardíaca.
pacientes ancianos com insuficiencia cardíaca.
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Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, R. Deo et al. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation 2017; 135: e146-603. doi: https://doi.org/10.1161/CIR.0000000000000491.
United Nations [homepage na internet]. Profiles of aging2017 [capturado 2018 Ago 10]. Disponível em: https://population.un.org/ProfilesOfAgeing2017/index.html.
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK., Blaha MJ, Cushman M. et al. Heart disease and stroke statistics—2016 update: a report from the American Heart Association. Circulation 2016;133: e38–360.
Gerber Y, Weston SA, Redfield MM, Chamberlain AM, Manemann SM, Jiang R, Killian JM, Roger VL. A contemporary appraisal of the heart failure epidemic in Olmsted County, Minnesota, 2000 to 2010. JAMA Intern Med. 2015; 175: 996–1004. doi:10.1001/jamainternmed.2015.0924
Instituto Brasileiro de Geografia e Estatística. Diretoria de Pesquisas- DP, Coordenação de População e Indicadores Sociais [Internet]. Rio de Janeiro: IBGE; 2017 [capturado 2019 Nov 10]. Disponível em https://biblioteca.ibge.gov.br >visualização>livros>liv98965
Estado do Rio Grande do Sul. Secretaria de Planejamento, Orçamento e gestão. Atlas Socioeconômico Rio Grande do Sul [Internet]. Rio Grande do Sul: Atlas Socioeconômico Rio Grande do Sul; 2019. Pirâmides etárias e envelhecimento da população. [capturado 2019 Nov 10]. Disponível em: https://atlassocioeconomico.rs.gov.br/coeficiente-de-mortalidade-geral-e-por-causas
Bocchi EA, Marcondes-Braga FG, Bacal F, Ferraz AS, Albuquerque D, Rodrigues Dde A, et al. [Updating of the Brazilian guideline for chronic heart failure – 2012]. Arq Bras Cardiol. 2012;98(1 Suppl. 1):1-33. doi: https://doi.org/10.1590/S0066-782X2012001000001.
DATASUS [homepage na internet]. Indicadores e dados básicos- Brasil 2011 [capturado 2018 Ago 10]. Disponível em: http://tabnet.datasus.gov.br/cgi
Bierman AS, Tinetti ME. Precision medicine to precision care: managing multimorbidity. Lancet. 2016; 388: 2721-23. doi: https://doi.org/10.1016/S0140-6736(16)32232-2.
Murad K, Goff DC Jr, Morgan TM, Burke GL, Bartz TM, Kizer JR, Chaudhry SI, Gottdiener JS, Kitzman DW. Burden of comorbidities and functional and cognitive impairments in elderly patients at the initial diagnosis of heart failure and their impact on total mortality: The Cardiovascular Health Study. JACC Heart Fail. 2015; 3:542-50. doi: https://doi.org/10.1016/j.jchf.2015.03.004.
McNallan SM, Singh M, Chamberlain AM, Kane RL, Dunlay SM, Redfield MM, Weston SA, Roger VL. Frailty and healthcare utilization among patients with heart failure in the community. JACC Heart Fail. 2013 April; 1(2):135-41. doi: https://doi.org/10.1016/j.jchf.2013.01.002.
Gorodeski EZ, Goyal P, Hummel SL, Krishnaswami A, Goodlin SJ, Hart LL, et al. Domain Management approach to heart failure in the geriatric patient. J Am Coll Cardiol. 2018; 71(17): 921-36. doi: https://doi.org/10.1016/j.jacc.2018.02.059.
Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O’Donnell M, Sullivan R, Yusuf S. The burden of disease in older people and implications for health policy and practice. Lancet. 2015 Feb 7;385(9967):549-62. doi: 10.1016/S0140-6736.
World Health Organization [homepage na internet]. WHO Definition of Palliative Care [capturado 2018 Jul 30]. Disponível em: http://www.who.int/cancer/palliative/definition/e.
Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur J Heart Fail. 2016; 18(8):891-975. doi: https://doi.org/10.1002/ejhf.592.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3):M146- 156. doi: https://doi.org/10.1093/gerona/56.3.M146.
Aprahamian I, Cezar NOC, Izbicki R, Lin SM, Paulo DLV, Fattori A, et al. Screening for frailty with the FRAIL Scale: a comparison with the phenotype. J Am Dir Assoc. 2017; 18(7):592-96. doi: https://doi.org/10.1016/j.jamda.2017.01.009.
Martínez Martín ML, Gnzález Montalvo JI, Otero Pruíme A. Anciano frágil: hablamos todos de lo mismo. Rev Esp Geriatr Gerontol. 2007; 42: 357-60. doi: https://doi.org/10.1016/S0211-139X(07)73575-8.
Martínez-Selles M, Vidán MT, López-Palop R, Rexach L, Sánchez E, Datino T et al. End-Stage heart disease in the elderly. Rev Esp Cardiol. 2009; 62(4):409-21. doi: https://doi.org/10.1016/S1885-5857(09)71668-8.
Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State”: a practical method for grading the cognitive state of a patient for the clinician. J Psychiatr Res. 1975; 12(3): 189-98. doi: https://doi.org/10.1016/0022-3956(75)90026-6.
Katz S, Ford A, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963; 185(12):914-19. doi: https://doi.org/10.1001/jama.1963.03060120024016.
Lawton MP, Brody EM. Assessment of older people self-maintaining and and instrumental activities of daily living. Gerontologist. 1969; 9(3):179-86. doi: https://doi.org/10.1093/geront/9.3_Part_1.179.
Yelnik A, Bonan I. Clinical tools for assessing balance disorders. Clin Neurophysiol. 2008; 38(6):439-45. doi: https://doi.org/10.1016/j.neucli.2008.09.008.
Almeida OP, Almeida SE. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) Versão Reduzida. Arq Neuropsiquiatr. 1999;57(2B):421-26. doi: https://doi.org/10.1590/S0004-282X1999000300013.
Guigoz Y. The Mininutritional Assessment (MANR). What does it tell us? J Nutr Health Aging. 2006; 10(6):466-87.
Whellan DJ, GoodlinSJ, Dickinson MG, Heidenreich PA, Jaenicke C, Stough WG, et al. End-of-life care in patients with heart failure. J Cardiac Fail. 2014; 20(2):121-34. doi: https://doi.org/10.1016/j.cardfail.2013.12.003.
Puchalski C, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med. 2000; 3(1):129-37. doi: https://doi.org/10.1089/jpm.2000.3.129.
Luchetti G, Granero AL, Bassi RM, Latorraca R, Nacif SAP. Espiritualidade na prática clínica: o que o clínico deve saber. Rev Bras Clin Med. 2010; 8(2):154-58.
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Colvin MM. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure. J Am Coll Cardiol. 2017 Aug 8;70(6):776-803. doi: https://doi.org/10.1016/j.jacc.2017.04.025.
Ahmed A, Rich MW, Love TE, Lloyd-Jones DM, Aban IB, Colucci WS, et al. Digoxin and reduction in mortality and hospitalization in heart failure: a comprehensive post hoc analysis of the Dig trial. Eur H Journal. 2006; 27(2):178-86. doi: https://doi.org/10.1093/eurheartj/ehi687.
Stewart D, McPherson ML. Symptom Management challenges in Heart Failure: pharmacotherapy considerations. Heart Fail Rev. 2017 Sep;22(5):525-34. doi: https://doi.org/10.1007/s10741-017-9632-5.
Morélot-Panzini C. Fooling the brain to alleviate dyspnea Eur Respir J. 2017 Aug 17;50(2):1701383. doi: 10.1183/13993003.01383-2017.
Borges JA, Quintão MMP, Chermont SSMC, Mendonça Filho HT, Mesquita ET. Fadiga: um sintoma complexo e seu impacto no Câncer e na Insuficiência Cardíaca. Int J Cardiovasc Sci. 2018; 31(4):433-42.
Mücke M, Mochamat, Cuhls H, Peuckmann-Post V, Minton O, Stone P et al. Pharmacological treatments for fatigue associated with palliative care (Review). Cochrane Database Syst Rev. 2015: 30(5):CD006788. doi: https://doi.org/10.1002/14651858.CD006788.pub3.
Tanguy-Goarin C, Cogulet V. Administration des médicaments par voie sous-cutanée en soins palliatifs. Therapie. 2010 Nov-Dec;65(6):525-31. https://doi.org/10.2515/therapie/2010066.
Solano JP, Gomes B, Higgson IJ. A comparison of symptom prevalence in far advaced cancer AIDS, heart disease, chronic obstructive pulmonary disease, and renal disease. J Pain Symptom Manag. 2006;31:58–69. doi: https://doi.org/10.1016/j.jpainsymman.2005.06.007.
Goodlin SJ, Wingate S, Albert NM, Pressler SJ, Houser J, Kwon J. et al. Investigating pain in heart failure patients: The Pain Assessment, Incidence, and Nature in Heart Failure (PAIN-HF) Study. J Cardiac Fail. 2012; 18(10):776-83. doi: https://doi.org/10.1016/j.cardfail.2012.07.007.
Goodlin SJ. Palliative care in congestive heart failure. J Am Coll Cardiol. 2009; 54(5): 386-96. doi: https://doi.org/10.1016/j.jacc.2009.02.078.
Kavalieratos D, Gelfman LP, Tycon LE, Riegel B, Bekelman DB, Ikejiani DZ. Palliative care in heart failure: rationale, evidence, and future priorities. J Am Coll Cardiol. 2017; 70(15):1919-30. doi: https://doi.org/10.1016/j.jacc.2017.08.036.
Aziz R, Steffens DC. What are the causes of late life depression? Psychiatr Clin North Am. 2013;36(4):497-516. doi: https://doi.org/10.1016/j.psc.2013.08.001.
Luppa M, Sikorski C, Luck T, Ehreke L, Konnopka A, Wiese B, et al. Age- and gender-specifc prevalence of depression in late life- systematic review and meta-analysis. J Affect Disord. 2012 Feb;136(3):212-21. doi: https://doi.org/10.1016/j.jad.2010.11.033.
Rutledge T, Reis VA, Linke SE, Greenberg BH, Mills PJ. Depression in heart failure- a meta-analytic review of prevalence, intervention effects, and associations with clinical outcome. J Am Coll Cardiol. 2006; 48(8): 1527-37. doi: https://doi.org/10.1016/j.jacc.2006.06.055.
Abete P, Testa G, Della-Morte D, Gargiulo G, Galizia G, de Santis D, et al. Treatment for Chronic heart failure in the elderly: current practice and problems. Heart fail Rev. 2013; 18(4): 529-51. doi: https://doi.org/10.1007/s10741-012-9363-6.
O’Connor CM, Jiang W, Kutchibhatla M, SADHART-CHF investigators et al. Safety and efficacy of sertraline for depression in patients with heart failure: results of the SADHART-CHF (Sertraline Against Depression and Heart Disease in Chronic Heart Failure) trial. J Am Coll Cardiol. 2010; 56(9): 692-99. doi: https://doi.org/10.1016/j.jacc.2010.03.068.
Angermann CE, Gelbrich G, Stork S, et al. Effect of escitalopram on all-cause mortality and hospitalization in patients with heart failure and depression: the Mood-HF randomaized clinical trial. JAA. 2016; 315(24): 2683-93. doi: https://doi.org/10.1001/jama.2016.7635.
Evans WJ, Morley JE, Argilés J, Bales C, Baracos V, Guttridge D, et al. Cachexia: a new definition. Clin Nutr. 2008; 27(6):793-99. doi: https://doi.org/10.1016/j.clnu.2008.06.013.
Saitoh M, dos Santos MR, Emami A, Ishida J, Ebner N, Valentova M, et al. Anorexia, functional capacity, and clinical outcome in patients with heart failure: results from the Studies Investigating Co-morbidities Aggravating Heart Failure(SICA-HF). ESC Heart Fail. 2017 Nov;4(4):448-57. doi: 10.1002/ehf2.12209. Epub 2017 Sep 27.
Fudim M, Wagman G, Altschul R, Yucel E, Bloom M, Vittorio TJ. Pathophysiology and treatment options cardiac anorexia. Curr Heart Fail Rep. 2011;8(2):147-53. doi: https://doi.org/10.1007/s11897-011-0049-5.
Lowey S. Palliative care in the management of patients with advanced heart failure. Adv Exp Med Biol. 2018; 1067: 295-311. doi: https://doi.org/10.1007/5584_2017_115.
Barrett T. Cardiac palliative care. 2017 Oct;14(5):428- 433. doi: 10.1007/s11897-017-0357-5. Published online: 6 september 2017.
Spiess JL. Hospice in heart failure: why, when, and what then? Heart Fail Rev. 2017; 22(5): 593-604. doi: https://doi.org/10.1007/s10741-017-9595-6.
Denvir MA, Murray AS, Boyd KJ. Future care planning: a first step to palliative care for all patients with advanced heart disease. Heart. 2015; 101: 1002-07. doi: https://doi.org/10.1136/heartjnl-2014-306724.
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Derechos de autor 2020 PAJAR - Pan-American Journal of Aging Research
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