Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/51002
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dc.contributor.authorChivite, Daviden_US
dc.contributor.authorFormiga, Francescen_US
dc.contributor.authorCorbella, Xavieren_US
dc.contributor.authorConde-Martel, Aliciaen_US
dc.contributor.authorAramburu, Óscaren_US
dc.contributor.authorCarrera, Margaritaen_US
dc.contributor.authorDávila, Melitón Franciscoen_US
dc.contributor.authorPérez-Silvestre, Joséen_US
dc.contributor.authorManzano, Luisen_US
dc.contributor.authorMontero-Pérez-Barquero, Manuelen_US
dc.date.accessioned2018-11-24T20:35:23Z-
dc.date.available2018-11-24T20:35:23Z-
dc.date.issued2018en_US
dc.identifier.issn0167-5273en_US
dc.identifier.urihttp://hdl.handle.net/10553/51002-
dc.description.abstractBackground: 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.en_US
dc.languageengen_US
dc.relation.ispartofInternational Journal of Cardiologyen_US
dc.sourceInternational Journal of Cardiology[ISSN 0167-5273],v. 254, p. 182-188 (Marzo 2018)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320501 Cardiologíaen_US
dc.subject.otherHeart failureen_US
dc.subject.otherElderly patientsen_US
dc.subject.otherRICA prospective studyen_US
dc.titleBasal functional status predicts one-year mortality after a heart failure hospitalization in elderly patients — The RICA prospective studyen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.ijcard.2017.10.104en_US
dc.identifier.scopus85041679277-
dc.contributor.authorscopusid6602551729-
dc.contributor.authorscopusid57202315092-
dc.contributor.authorscopusid7004014299-
dc.contributor.authorscopusid7004460826-
dc.contributor.authorscopusid9535896000-
dc.contributor.authorscopusid55777553800-
dc.contributor.authorscopusid56789689100-
dc.contributor.authorscopusid23478083500-
dc.contributor.authorscopusid7003478009-
dc.contributor.authorscopusid55914854300-
dc.description.lastpage188en_US
dc.description.firstpage182en_US
dc.relation.volume254en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages7en_US
dc.utils.revisionen_US
dc.date.coverdateMarzo 2018en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr0,99-
dc.description.jcr3,471-
dc.description.sjrqQ2-
dc.description.jcrqQ2-
dc.description.scieSCIE-
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR IUIBS: Patología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-2540-3880-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameConde Martel, Alicia-
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