Lower admission blood pressure as an independent predictor of 1-year mortality in elderly patients experiencing a first hospitalization for acute heart failure
Autor/a
Formiga, Francesc
Moreno-Gónzalez, Rafael
Chivite, David
Yun, Sergi
Ariza-Sole, Albert
Corbella Virós, Xavier
Data de publicació
2019ISSN
1109-9666
Resum
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.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
61 - Medicina
Paraules clau
Insuficiència cardíaca
Mortalitat
Persones grans
Pacients
Insuficiencia cardíaca
Mortalidad
Ancianos
Hospitalizados
Heart failure
Mortality
Elderly people
Patients
Pàgines
6
Publicat per
Elsevier
Col·lecció
60; 4
Publicat a
Hellenic Journal of Cardiology
Citació
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
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Drets
© 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/)
Excepte que s'indiqui una altra cosa, la llicència de l'ítem es descriu com https://creativecommons.org/licenses/by-nc-nd/4.0/