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http://hdl.handle.net/2445/199507
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DC Field | Value | Language |
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dc.contributor.author | Martín Sánchez, Francisco Javier | - |
dc.contributor.author | Parra Esquivel, Patricia | - |
dc.contributor.author | Llopis García, Guillermo | - |
dc.contributor.author | González del Castillo, Juan | - |
dc.contributor.author | Rodriguez Adrada, Esther | - |
dc.contributor.author | Espinosa, Begoña | - |
dc.contributor.author | López Diez, Maria Pilar | - |
dc.contributor.author | Romero Pareja, Rodolfo | - |
dc.contributor.author | Rizzi Bordigoni, Miguel Alberto | - |
dc.contributor.author | Pérez-Durá, Maria José | - |
dc.contributor.author | Bibiano, Carlos | - |
dc.contributor.author | Ferrer, Carles | - |
dc.contributor.author | Aguiló, Sira | - |
dc.contributor.author | Martín Mojarro, Enrique | - |
dc.contributor.author | Aguirre Tejedo, Alfons | - |
dc.contributor.author | Piñera, Pascual | - |
dc.contributor.author | López-Picado, Amanda | - |
dc.contributor.author | Llorens, Pere | - |
dc.contributor.author | Jacob, Javier | - |
dc.contributor.author | Gil, Víctor | - |
dc.contributor.author | Herrero Puente, Pablo | - |
dc.contributor.author | Fernandez Pérez, Cristina | - |
dc.contributor.author | Gil, Pedro | - |
dc.contributor.author | Calvo, Elpidio | - |
dc.contributor.author | Rossello, Xavier | - |
dc.contributor.author | Bueno, Hector | - |
dc.contributor.author | Burillo Putze, Guillermo | - |
dc.contributor.author | Miró i Andreu, Òscar | - |
dc.date.accessioned | 2023-06-20T17:53:13Z | - |
dc.date.available | 2023-06-20T17:53:13Z | - |
dc.date.issued | 2021-06-01 | - |
dc.identifier.issn | 1137-6821 | - |
dc.identifier.uri | http://hdl.handle.net/2445/199507 | - |
dc.description.abstract | Objectives: To study the effect of high-risk criteria on 30-day outcomes in frail older patients with acute heart failure (AHF) discharged from an emergency department (ED) or an ED's observation and short-stay areas. Material and methods: Secondary analysis of discharge records in the Older AHF Key Data registry. We selected frail patients (aged > 70 years) discharged with AHF from EDs. Risk factors were categorized as modifiable or nonmodifiable. The outcomes were a composite endpoint for a cardiovascular event (revisits for AHF, hospitalization for AHF, or cardiovascular death) and the number of days alive out-of-hospital (DAOH) within 30 days of discharge. Results: We included 380 patients with a mean (SD) age of 86 (5.5) years (61.2% women). Modifiable risk factors were identified in 65.1%, nonmodifiable ones in 47.8%, and both types in 81.6%. The 30-day cardiovascular composite endpoint occurred in 83 patients (21.8%). The mean 30-day DAOH observed was 27.6 (6.1) days. Highrisk factors were present more often in patients who developed the cardiovascular event composite endpoint: the rates for patients with modifiable, nonmodifiable, or both types of risk were, respectively, as follows in comparison with patients not at high risk: 25.0% vs 17.2%, P = .092; 27.6% vs 16.7%, P = .010; and 24.7% vs 15.2%, P = .098). The 30-day DAOH outcome was also lower for at-risk patients, according to type of risk factor present: modifiable, 26.9 (7.0) vs 28.4 (4.4) days, P = .011; nonmodifiable, 27.1 (7.0) vs 28.0 (5.0) days, P = .127; and both, 27.1 (6.7) vs 28.8 (3.4) days, P = .005). After multivariate analysis, modifiable risk remained independently associated with fewer days alive (adjusted absolute difference in 30-day DAOH, -1.3 days (95% CI, -2.7 to -0.1 days). Nonmodifiable factors were associated with increased risk for the 30-day cardiovascular composite endpoint (adjusted absolute difference, 10.4%; 95% CI, -2.1% to 18.7%). Conclusion: Risk factors are common in frail elderly patients with AHF discharged home from hospital ED areas. Their presence is associated with a worse 30-day prognosis. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Saned | - |
dc.relation.isformatof | Reproducció del document publicat a: https://europepmc.org/article/med/33978329 | - |
dc.relation.ispartof | Emergencias, 2021, vol. 33, num. 3, p. 165-173 | - |
dc.rights | (c) Saned, 2021 | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Insuficiència cardíaca | - |
dc.subject.classification | Persones grans | - |
dc.subject.classification | Serveis d'urgències hospitalàries | - |
dc.subject.other | Heart failure | - |
dc.subject.other | Older people | - |
dc.subject.other | Hospital emergency services | - |
dc.title | Thirty-day outcomes in frail older patients discharged home from the emergency department with acute heart failure: effects of high-risk criteria identified by the DEED FRAIL-AHF trial | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 718668 | - |
dc.date.updated | 2023-06-20T17:53:13Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) |
Files in This Item:
File | Description | Size | Format | |
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718668.pdf | 1.62 MB | Adobe PDF | View/Open |
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