Heart failure & cardiomyopathies

Targeted Geriatric Assessment to Predict Outcomes in Older Adults With Heart Failure

JACC AdvPublished Prospective cohort study

Authors' conclusion

In older adults with HF referred to the geriatric day hospital, the 10-TaGA provided clinically relevant information beyond standard cardiac assessments and may support effective patient-centered care.

Study context

Population
Older adults with heart failure (HF) consecutively admitted to a geriatric day hospital in Brazil
Participants
326 adults
Exposure
10-TaGA score tertiles
Outcome
All-cause mortality or hospitalization
Follow-up
1 year
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Each group vs low-riskAdjusted hazard ratio (95% CI)
Intermediate-risk
1.41(0.96–2.05)
High-risk
1.97(1.30–2.99)

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Days of health lost · 1 yearIntermediate-risk vs Low-riskmean difference +22 days (95% CI −2 to +45)
Days of health lost · 1 yearHigh-risk vs Low-riskmean difference +49 days (95% CI +9 to +88)
Discrimination for all-cause mortality/hospitalization: 10-TaGA added to clinical variables and CCC-HF · 1 yearWith 10-TaGA vs Without 10-TaGAtime-specific difference in AUC 0.04 (95% CI 0.01–0.08)P = 0.025

Deaths within 1 year

Patients who died within 1 year
76

Original publication

Targeted Geriatric Assessment to Predict Outcomes in Older Adults With Heart Failure. JACC Adv. Published 17 September 2025. doi:10.1016/j.jacadv.2025.102128

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