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http://hdl.handle.net/2445/122884
Title: | Real world heart failure epidemiology and outcome: A population-based analysis of 88,195 patients |
Author: | Farré, Núria Vela, Emili Clèries, Montse Bustins, Montse Cainzos Achirica, Miguel Enjuanes, Cristina Moliner, Pedro Ruiz, Sonia Verdú Rotellar, Jose Maria Comín Colet, Josep |
Keywords: | Insuficiència cardíaca Malalties pulmonars obstructives cròniques Heart failure Chronic obstructive pulmonary diseases |
Issue Date: | 24-Feb-2017 |
Publisher: | Public Library of Science (PLoS) |
Abstract: | Background: Heart failure (HF) is frequent and its prevalence is increasing. We aimed to evaluate the epidemiologic features of HF patients, the 1-year follow-up outcomes and the independent predictors of those outcomes at a population level. Methods and results: Population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on December 31st, 2012. Patients were divided in 3 groups: patients without a previous HF hospitalization, patients with a remote (>1 year) HF hospitalization and patients with a recent (<1 year) HF admission. We analyzed 1year all-cause and HF hospitalizations, and all-cause mortality. Logistic regression was used to identify the independent predictors of each of those outcomes. A total of 88,195 patients were included. Mean age was 77 years, 55% were women. Comorbidities were frequent. Fourteen percent of patients had never been hospitalized, 71% had a remote HF hospitalization and 15% a recent hospitalization. At 1-year follow-up, all-cause and HF hospitalization were 53% and 8.8%, respectively. One-year all-cause mortality rate was 14%, and was higher in patients with a recent HF hospitalization (24%). The presence of diabetes mellitus, atrial fibrillation or chronic kidney disease was independently associated with all-cause and HF hospitalization and all-cause mortality. Hospital admissions and emergency department visits the previous year were also found to be independently associated with the three study outcomes. Conclusions: Outcomes are different depending on the HF population studied. Some comorbidity, an all-cause hospitalization or emergency department visit the previous year were associated with a worse outcome. |
Note: | Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0172745 |
It is part of: | PLoS One, 2017, vol. 12, num. 2, p. e0172745 |
URI: | http://hdl.handle.net/2445/122884 |
Related resource: | https://doi.org/10.1371/journal.pone.0172745 |
ISSN: | 1932-6203 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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