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Prognosis of acute heart failure in patients followed up in nursing homes in Spain: Results from the RICA registry.
Méndez-Bailon, Manuel; Lorenzo-Villalba, Noel; Epelde-Gonzálo, Francisco; Llàcer, Pau; Conde-Martel, Alicia; Manzano-Espinosa, Luis; Arévalo-Lorido, José Carlos; Trullás, Joan Carles; Casado-Cerrada, Jesús; Montero-Pérez-Barquero, Manuel.
Afiliación
  • Méndez-Bailon M; Internal Medicine, University Hospital Clinico San Carlos, Facultad de Medicina, Universidad Complutense, IdISSC, Madrid, Spain.
  • Lorenzo-Villalba N; Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. Electronic address: noellorenzo@gmail.com.
  • Epelde-Gonzálo F; USU, Hospital Universitari Parc Taulí, Barcelona, Spain.
  • Llàcer P; Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
  • Conde-Martel A; Internal Medicine, University Hospital of Gran Canaria (Dr. Negrín), Spain.
  • Manzano-Espinosa L; Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain.
  • Arévalo-Lorido JC; Internal Medicine, University Hospital of Badajoz, Spain.
  • Trullás JC; Internal Medicine Department, Hospital d'Olot, Girona, Catalonia, Spain.
  • Casado-Cerrada J; Internal Medicine, University Hospital of Getafe, Madrid, Spain.
  • Montero-Pérez-Barquero M; Internal Medicine, IMIBIC, University Hospital "Reina Sofía", Córdoba, Spain.
Med Clin (Barc) ; 162(4): 157-162, 2024 02 23.
Article en En, Es | MEDLINE | ID: mdl-37968173
BACKGROUND: Patients with chronic diseases such as heart failure (HF) are at risk of hospital admission. We evaluated the impact of living in nursing homes (NH) on readmissions and all-cause mortality of HF patients during a one-year follow up. METHODS: An observational and multicenter study from the Spanish National Registry of Heart Failure (RICA) was performed. We compared clinical and prognostic characteristics between both groups. Bivariate analyses were performed using Student's t-test and Tukey's method and a Kaplan-Meier survival at one-year follow up. A multivariate proportional hazards analysis of [Cox] regression by the conditional backward method was conducted for the variables being statistically significant related to the probability of death in the univariate. RESULTS: There were 5644 patients included, 462 (8.2%) of whom were nursing home residents. There were 52.7% women and mean age was 79.7±8.8 years. NH residents had lower Barthel (74.07), Charlson (3.27), and Pfeiffer index (2.2), p<0.001). Mean pro-BNP was 6686pg/ml without statistical significance differences between groups. After 1-year follow-up, crude analysis showed no differences in readmissions 74.7% vs. 72.3%, p=0.292, or mortality 63.9% vs. 61.1%, p=0.239 between groups. However, after controlling for confounding variables, NH residents had a higher 1-year all-cause mortality (HR 1.153; 95% CI 1.011-1.317; p=0.034). Kaplan-Meier analysis showed worse survival in nursing home residents (log-rank of 7.12, p=0.008). CONCLUSIONS: Nursing home residents with heart failure showed higher one-year mortality which could be due to worse functional status, higher comorbidity, and cognitive deterioration.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Cardíaca Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En / Es Revista: Med Clin (Barc) Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Cardíaca Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En / Es Revista: Med Clin (Barc) Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: España