Basal functional status predicts three-month mortality after a heart failure hospitalization in elderly patients — The prospective RICA study

Formiga, Francesç; Chivite, David; Conde, Alicia; Laiglesia, Fernando José Ruiz; Franco, Álvaro González; Bocanegra, Carmen Pérez; Manzano, Luís; Pérez-Barquero, Manuel Montero

doi:10.1016/j.ijcard.2013.12.169

Cited by 69 publications

(23 citation statements)

References 29 publications

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“…We found that age, comorbidity and betablocker-use (but not gender), are the variables independently associated with higher mortality. Age is a well-recognized factor associated with mortality in general population and also in HF subjects [6,17], so it seems logical also for new onset HF. The same reasoning would be valid for global comorbidity [24].…”

Section: Discussionmentioning

confidence: 99%

“…RICA is a multi-center, prospective cohort registry of patients experiencing admissions due to acute HF to the internal medicine services of 52 hospitals, mostly public but also some private, across Spain [17,18]. The ethics committee of the University Hospital "Reina Sofia", Córdoba, Spain, approved on behalf of the others the overall protocol, and all patients signed an informed consent prior to being included in the registry.…”

Section: Methodsmentioning

confidence: 99%

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New onset heart failure — Clinical characteristics and short-term mortality. A RICA (Spanish registry of acute heart failure) study

Franco¹,

Formiga²,

Chivite³

et al. 2015

European Journal of Internal Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

New onset heart failure — Clinical characteristics and short-term mortality. A RICA (Spanish registry of acute heart failure) study

Franco¹,

Formiga²,

Chivite³

et al. 2015

European Journal of Internal Medicine

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“…Poorer attention and executive functioning were associated with higher BMI, p = 0.01, p = 0.04 respectively. Formiga et al [25] utilized the Barthel Index as a surrogate for functional status in hospitalized decompensated heart failure patients, finding among other variables, an independent association between poorer preadmission functional status and cognitive impairment, as well as shortterm mortality. While the true prevalence of cognitive impairment in CHF remains debatable, given its many confounding factors, the expectant rise alongside heart failure is not.…”

Section: Introductionmentioning

confidence: 99%

Heart failure and cognitive dysfunction

Ampadu

Morley

2015

International Journal of Cardiology

149

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“…The registry includes sociodemographic data, comorbidities, basal functional status (Barthel Index) [6], biochemical parameters (including natriuretic peptides, when available), the etiology of HF, left ventricular ejection fraction (LVEF; by means of 2D echocardiography) and prescriptions at discharge.…”

Section: Methodsmentioning

confidence: 99%

Heart Failure with Recovered Ejection Fraction in a Cohort of Elderly Patients with Chronic Heart Failure

et al. 2016

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Objective: The aim of this study was to determine whether patients with heart failure (HF) who recover left ventricular ejection fraction (LVEF), termed here as ‘Rec-HF', have a distinct clinical profile and prognosis compared with patients with HF and reduced LVEF (HF-REF) or HF and preserved LVEF (HF-PEF). Methods: We evaluated and classified patients from the Spanish Heart Failure Registry into three categories based on enrollment/follow-up echocardiograms: HF-PEF (LVEF ≥50%), HF-REF (LVEF persistently <50%) and Rec-HF (LVEF on enrollment <50% but normalized during follow-up). Results: A total of 1,202 patients were included, 1,094 with HF-PEF, 81 with HF-REF and 27 with Rec-HF. The three groups included patients of advanced age (mean age 75 years) with comorbidities. Rec-HF patients were younger, with a better functional status, lower prevalence of diabetes mellitus, dementia and cerebrovascular disease, and higher prevalence of COPD. The etiology of HF was more frequently ischemic and alcoholic and less frequently hypertensive. After a median follow-up of 367 days, the unadjusted hazard ratios for death in the Rec-HF versus HF-PEF and HF-REF groups were 0.11 (95% CI 0.02-080; p = 0.029) and 0.31 (95% CI 0.04-2.5; p = 0.274). Results were statistically nonsignificant in multivariate-adjusted models. Conclusion: Rec-HF is also present in elderly patients with HF but it is necessary to further investigate the natural history and optimal pharmacologic management of this ‘new HF syndrome'.

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Basal functional status predicts three-month mortality after a heart failure hospitalization in elderly patients — The prospective RICA study

Cited by 69 publications

References 29 publications

New onset heart failure — Clinical characteristics and short-term mortality. A RICA (Spanish registry of acute heart failure) study

New onset heart failure — Clinical characteristics and short-term mortality. A RICA (Spanish registry of acute heart failure) study

Heart failure and cognitive dysfunction

Heart Failure with Recovered Ejection Fraction in a Cohort of Elderly Patients with Chronic Heart Failure

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