dc.contributor.author | Formiga, Francesc | |
dc.contributor.author | Moreno-Gónzalez, Rafael | |
dc.contributor.author | Chivite, David | |
dc.contributor.author | Yun, Sergi | |
dc.contributor.author | Ariza-Sole, Albert | |
dc.contributor.author | Corbella Virós, Xavier | |
dc.date.accessioned | 2020-09-06T14:12:39Z | |
dc.date.available | 2020-09-06T14:12:39Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Formiga, Francesc; Moreno-Gonzalez, Rafael; Chivite, David [et al.]. Lower admission blood pressure as an independent predictor of 1-year mortality in elderly patients experiencing a first hospitalization for acute heart failure. Hellenic Journal of Cardiology, 2019, 60(4), p. 224-229. Disponible en: <https://www.sciencedirect.com/science/article/pii/S110996661830229X>. Fecha de acceso: 6 sept. 2020. DOI: 10.1016/j.hjc.2018.08.004 | ca |
dc.identifier.issn | 1109-9666 | ca |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/1655 | |
dc.description.abstract | Background: Systolic blood pressure (SBP) is an acknowledged prognostic factor in patients with heart failure (HF). Admission SBP should be a risk factor for 1-year mortality even in elderly patients experiencing a first admission for HF, and this risk may persist in the oldest subset of patients. Design: Methods: We reviewed the medical records of 1031 patients aged 70 years or older admitted within a 3-year period for a first episode of acute heart failure (AHF). The cohort was divided according to admission SBP values in quartiles. We analyzed all-cause mortality as a function of these admission SBP quartiles. Results: Mean age was 82.2 ± 6 years; their mean admission SBP was 138.6 ± 25 mmHg. A statistically significant association was present between mortality at 30 (p < 0.0001), 90 (p < 0.0001), and 365 days (p < 0.0001) after hospital discharge and lower admission SBP quartiles. One-year mortality ranged from 14.7% for patients within the upper SBP quartile to 41.4% for those in the lowest quartile. The multivariate analysis confirmed this association (HR: 0.884; 95% CI: 0.615-0.76; p = 0.0001), which remained significant when admission SBP was evaluated as a continuous variable (HR: 0.980; 95% CI: 0.975–0.985; p = 0.0001). The association between SBP and 1-year mortality remained when the sample was divided into old (70–82 years) and “oldest-old” (>82 years) patients. Conclusions: Lower SBP at admission is an independent predictor of midterm postdischarge mortality for elderly patients experiencing a first admission for AHF. | ca |
dc.format.extent | 6 | ca |
dc.language.iso | eng | ca |
dc.publisher | Elsevier | ca |
dc.relation.ispartof | Hellenic Journal of Cardiology | ca |
dc.relation.ispartofseries | 60;4 | |
dc.rights | © 2018 Hellenic Society of Cardiology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) | ca |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.subject.other | Insuficiència cardíaca | ca |
dc.subject.other | Mortalitat | |
dc.subject.other | Persones grans | |
dc.subject.other | Pacients | |
dc.subject.other | Insuficiencia cardíaca | |
dc.subject.other | Mortalidad | |
dc.subject.other | Ancianos | |
dc.subject.other | Hospitalizados | |
dc.subject.other | Heart failure | |
dc.subject.other | Mortality | |
dc.subject.other | Elderly people | |
dc.subject.other | Patients | |
dc.title | Lower admission blood pressure as an independent predictor of 1-year mortality in elderly patients experiencing a first hospitalization for acute heart failure | ca |
dc.type | info:eu-repo/semantics/article | ca |
dc.description.version | info:eu-repo/semantics/publishedVersion | ca |
dc.rights.accessLevel | info:eu-repo/semantics/openAccess | |
dc.embargo.terms | cap | ca |
dc.subject.udc | 61 | ca |
dc.identifier.doi | https://dx.doi.org/10.1016/j.hjc.2018.08.004 | ca |