Herrero-Torrus, MartaBadosa Marcé, NeusRoqueta, CristinaRuiz-Bustillo, SoniaSolé-González, EduardBelarte Tornero, Laia CarlaValdivielso Moré, SandraVázquez Ibar, OlgaFarré López, Núria2022-10-042022-10-042022Herrero-Torrus M, Badosa N, Roqueta C, Ruiz-Bustillo S, Solé-González E, Belarte-Tornero LC, Valdivielso-Moré S, Vázquez O, Farré N. Randomized controlled trial comparing a multidisciplinary intervention by a geriatrician and a cardiologist to usual care after a heart failure hospitalization in older patients: The SENECOR study. J Clin Med. 2022 Mar 30;11(7):1932. DOI: 10.3390/jcm110719322077-0383http://hdl.handle.net/10230/54242Background: The prognosis of older patients after a heart failure (HF) hospitalization is poor. Methods: In this randomized trial, we consecutively assigned 150 patients 75 years old or older with a recent heart failure hospitalization to follow-up by a cardiologist (control) or follow-up by a cardiologist and a geriatrician (intervention). The primary outcome was all-cause hospitalization at a one-year follow-up. Results: All-cause hospitalization occurred in 47 of 75 patients (62.7%) in the intervention group and in 58 of 75 patients (77.3%) in the control group (hazard ratio, 0.67; 95% confidence interval, 0.46 to 0.99; p = 0.046). The number of patients with at least one HF hospitalization was similar in both groups (34.7% in the intervention group vs. 40% in the control group, p = 0.5). There were a total of 236 hospitalizations during the study period. The main reasons for hospitalization were heart failure (38.1%) and infection (14.8%). Mortality was 24.7%. Heart failure was the leading cause of mortality (54.1% of all deaths), without differences between groups. Conclusions: A follow-up by a cardiologist and geriatrician in older patients after an HF hospitalization was superior to a cardiologist's follow-up in reducing all-cause hospitalization in older patients. (Funded by Beca Primitivo de la Vega, Fundación MAPFRE. Clinicaltrials: gov number, NCT03555318).application/pdfeng© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).info:eu-repo/semantics/articlehttp://dx.doi.org/10.3390/jcm11071932All-cause hospitalizationCardiologistFrailtyGeriatricianHeart failurePrognosisinfo:eu-repo/semantics/openAccess