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Short-term prognostic factors in elderly patients seen in emergency departments for acute heart failure.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Miró, O. Scar Llorens, Pere Martín-Sánchez, Francisco Javier Herrero, Pablo De Oliveira Castro Pavón, José Manuel Cano Pérez-Durá, María José Alvarez, Ana Bella Jacob, Javier González-Armengol, Juan Jorge Gil, Victor Alonso, Héctor Martínez |
| Copyright Year | 2009 |
| Abstract | INTRODUCTION AND OBJECTIVES To investigate factors associated with short-term mortality in elderly patients seen in emergency departments for an episode of acute heart failure. METHODS A prospective, non-interventional, multicenter, cohort study was carried out in patients aged 65 years and older who were treated in the emergency department of one of eight tertiary hospitals in Spain. Twenty-eight independent variables that could influence mortality at 30 days were assessed. They covered epidemiological and clinical factors and daily functioning. Data were obtained by reviewing medical records or by interviewing the patient or a relative. Multivariate logistic regression analysis was performed. RESULTS The study included 623 patients, 42 of whom (6.7%) died within 30 days of visiting the emergency department. Four variables were significantly associated with higher mortality: functional dependence at baseline (i.e., Barthel index=60; odds ratio [OR]=2.9; 95% confidence interval [CI], 1.2-6.5), New York Heart Association class III-IV (OR=3; 95% CI, 1.3-7), systolic blood pressure <100 mmHg (OR=4.8; 95% CI, 1.6-14.5) and blood sodium <135 mEq/l (OR=4.2; 95% CI, 1.8-9.6). CONCLUSIONS Several factors evaluated on initial assessment in the emergency department, including the level of functional dependence, were found to determine a poor short-term prognosis in elderly patients who present with an episode of acute heart failure. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://appswl.elsevier.es/watermark/ctl_servlet?_f=10&accion=L&anuncioPdf=ERROR_publi_pdf&fichero=255v62n07a13140259pdf001.pdf&lan=en&origen=cardio&pcontactid=&pident_articulo=13140259&pident_revista=255&pident_usuario=0&ty=106&web=www.revespcardiol.org |
| PubMed reference number | 19709511v1 |
| Volume Number | 62 |
| Issue Number | 7 |
| Journal | Revista espanola de cardiologia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accident and Emergency department Cessation of life Confidence Intervals Epidemiology Forecast of outcome Heart failure Interview Patients Review [Publication Type] Tertiary Care Centers blood sodium torr |
| Content Type | Text |
| Resource Type | Article |
