[Clinical and prognostic profile evolution of patients discharged from hospital due to heart failure in the first two decades of the 21st century. The INCA-Ex Registry].
In: Atencion primaria, Jg. 54 (2022-07-01), Heft 7, S. 102357
Online
academicJournal
Zugriff:
Aim: To study the evolution of the clinical profile of a population discharged with a main diagnosis of heart failure (HF) in the first two decades of the century and the predictive variables of mortality and readmission in the first year of discharge.
Design: Observational, retrospective, longitudinal study. SITE: Don Benito Villanueva de la Serena Badajoz health area.
Participants: All patients discharged with a main diagnosis of HF between 2000 and 2019 in a general hospital complex were included.
Main Measurements: Sociodemographic and clinical variables were collected, and a one-year follow-up; the result variable was a composite of mortality and/or readmission.
Results: A total of 4107 discharges were included, mean age 77.1 (SD±10.5) years, 53.1% women. The number of admissions, age, history of neoplasms, stroke, kidney failure, and anemia increased, as did readmissions (P for trends <.001), while mortality remained constant. Predictive variables for readmission and/or death were HR (95%CI): age (per year) 1.04 (1.03-1.04), diabetes: 1.11 (1.01-1.24), previous HF 1.41 (1.28-1.57), composite variable myocardial infarction, stroke and/or peripheral artery disease 1.24 (1.11-1.38), chronic obstructive pulmonary disease (COPD) 1.29 (1.15-1.44), neoplasia 1.33 (1.16-1.53), anemia 1.63 (1.41-1.86), chronic kidney failure 1.42 (1.26-1.60).
Conclusions: In the last 20 years, admissions for heart failure, patient age, and comorbidity have increased. Predictive variables for mortality and/or readmission were age, diabetes, previous cardiovascular disease, neoplasms, COPD, kidney failure, and anemia; however, mortality at one year remained constant.
(Copyright © 2022 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.)
Titel: |
[Clinical and prognostic profile evolution of patients discharged from hospital due to heart failure in the first two decades of the 21st century. The INCA-Ex Registry].
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Autor/in / Beteiligte Person: | Fernández-Bergés, D ; González-Fernández, R ; Félix-Redondo, FJ ; Arevalo Lorido, J ; Yeguas Rosa, L ; Hernández-González, M ; Rubini, A ; Galán Montejano, M ; Gamero, MC ; Lozano Mera, L |
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Zeitschrift: | Atencion primaria, Jg. 54 (2022-07-01), Heft 7, S. 102357 |
Veröffentlichung: | Madrid : Elsevier España ; <i>Original Publication</i>: Barcelona : Haymarket,, 2022 |
Medientyp: | academicJournal |
ISSN: | 1578-1275 (electronic) |
DOI: | 10.1016/j.aprim.2022.102357 |
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