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http://hdl.handle.net/10553/51002
Title: | Basal functional status predicts one-year mortality after a heart failure hospitalization in elderly patients — The RICA prospective study | Authors: | Chivite, David Formiga, Francesc Corbella, Xavier Conde-Martel, Alicia Aramburu, Óscar Carrera, Margarita Dávila, Melitón Francisco Pérez-Silvestre, José Manzano, Luis Montero-Pérez-Barquero, Manuel |
UNESCO Clasification: | 32 Ciencias médicas 320501 Cardiología |
Keywords: | Heart failure Elderly patients RICA prospective study |
Issue Date: | 2018 | Journal: | International Journal of Cardiology | Abstract: | Background: Dependence for basic activities of the daily living (ADL) relates to adverse outcomes in elderly acute heart failure (AHF) patients. Methods: We evaluated patients ≥75years admitted because of AHF, divided according to preadmission Barthel Index (BI) category: severe (BI 0-60), moderate (BI 61-90) and slight dependence or independence for basic ADL (BI 91-100). We compared their baseline characteristics and used logistic regression models to determine whether a BI≤60 confers higher one-year mortality risk. Results: We included 2195 patients, mean age 83years; 57% women, Charlson Index 3, 65% with preserved left ventricular ejection fraction. Their median preadmission BI was 90 (65-100); 21.7% had BI≤60. Patients with BI≤60 were older, more often females, with higher comorbid and cognitive burden and more likely to be institutionalized. 560 patients (26%) died within the follow-up period. A preadmission BI≤60 was significantly associated with higher risk of 12-month mortality (HR 1.42, 95% CI 1.14-1.77) together with male sex (1.27, 1.04-1.54), valve disease (1.49, 1.20-1.83), worse preadmission NYHA class (1.44, 1.20-1.73), stage IV chronic kidney disease (1.70, 1.35-2.15), pulmonary edema (1.33, 1.01-1.76), no family support (1.47, 1.06-2.06), and higher Charlson Comorbidity Index (1.09, CI 1.05-1.13) and Pfeiffer cognitive screening questionnaire scores (1.10, 1.05-1.14). Conclusion: Among elderly AHF patients, the presence of severe (BI≤60) preadmission dependence for basic ADL confers a significant and independent risk of one-year post-discharge mortality. | URI: | http://hdl.handle.net/10553/51002 | ISSN: | 0167-5273 | DOI: | 10.1016/j.ijcard.2017.10.104 | Source: | International Journal of Cardiology[ISSN 0167-5273],v. 254, p. 182-188 (Marzo 2018) |
Appears in Collections: | Artículos |
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