Please use this identifier to cite or link to this item: 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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