Comprehensive complexity assessment as a key tool for the prediction of in-hospital mortality in heart failure of aged patients admitted to internal medicine wards

Nardi, Roberto; Fiorino, Sirio; Borioni, D; Agostini, D; D’Anastasio, C.; Marchetti, C.; Muratori, Marilena

doi:10.1016/j.archger.2007.01.037

Cited by 10 publications

(4 citation statements)

References 39 publications

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“…According to WHO Anatomical Therapeutic Chemical classification system (ATC), the drugs fell into following groups: digestive tract and metabolism (group A, 118 prescriptions, 11 different drugs), blood (B, 232, 9), cardiovascular (C, 293, 24), dermatologicals (D, 2, 1), genitourinary (G, 12, 2), hormones (H, 16, 3), anti-infectives (J, 84, 14), antineoplastics (L, 9,5), musculoskeletal (M, 16, 3), nervous (N, 69, 12), respiratory (R, 26, 3), and various (V, 6, 1). Top 10 used drugs were: enalapril (in 65 subjects), potassium chloride supplements constituting of oral powder and intravenous solution (62), metoprolol (49), normal saline infusion solution (47), furosemide (45), glucose isotonic infusion (32), Hartman's solution (32), aspirin (27), cefuroxime (25), and aminophylline (23).…”

Section: Resultsmentioning

confidence: 99%

Monitoring of drug‐associated electrolyte disturbances in a hospital

Zornić¹,

Radojević²,

Janković³

et al. 2009

Pharmacoepidemiology and Drug

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Section: Resultsmentioning

confidence: 99%

Monitoring of drug‐associated electrolyte disturbances in a hospital

Zornić¹,

Radojević²,

Janković³

et al. 2009

Pharmacoepidemiology and Drug

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“…L'interrelazione fra deficit cognitivo e disabilità è stata recentemente rimarcata: in anziani affetti da SC il rilievo di deficit cognitivo, indipendentemente dai meccanismi eziopatogenetici, è risultato un predittore indipendente di disabilità e mortalità, sia intraospedaliera sia a un anno [57-59]. La mortalità intraospedaliera nei pazienti anziani ricoverati per SC in reparti internistico-geriatrici è significativamente correlata a disfunzione cognitiva e precarie performance clinico-funzionali e sociali, ma non alla classe definita dalla New York Heart Association (NYHA) e alla frazione di eiezione [22].…”

Section: Anemiaunclassified

The CONFINE (Comorbidities and Outcome iN patients with chronic heart Failure: a study in INternal mEdicine units) study: a new epidemiologic observational study on heart failure in the internal medicine departments in Italy

Biagi¹

2013

Ital J Med

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BACKGROUND The burden of heart failure (HF) is enormous and its prevalence increases sharply with age. It has been estimated that heart failure affects up to 3% of the general population and 10% of the elderly. It contributes to hospital admission for most of them, mainly elder adults (admitted in internal medicine units) with more than one comorbidity, cognitive disorders, impairment and so on. Despite the increasing prevalence of heart failure, its exact incidence and prevalence remain largely unknown and probably underestimated due to a lack of accurate epidemiological data and difficulties associated with comorbidities and correct diagnosis: over 40% of recurrent hospitalization causes, either cardiac or extracardiac, cannot be determined due to the lack of data. AIM OF THE STUDY The objective of this study estimated the prevalence and the primary care burden associated with comorbidities in internal medicine units. METHOD The design: a longitudinal multicentric observational study using spot analysis three data sheets were filled in during the hospital stay according to three crucial moments: enrolment (“the index day”), admission and discharge. Will be analyzed the following primary outcomes: total and cardiovascular mortality, intensive unit care admission, recurrent cardiovascular disorders, length of stay, hospital readmission, changes in activities of daily living, need for care. Second outcomes: clinical, therapeutic, instrumental and laboratory changes during the admission process. Deep analysis of the following comorbidities will be also taken into account: acute and chronic kidney failure, anaemia, chronic obstructive pulmonary disease, muscle loss, nutritional status, cirrhosis of the liver, neoplasms, blood cell disorders, chronic inflammatory diseases. Further evalutation items: cognitive impairment, self-sufficiency and perception of quality life.

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“…In terms of sodium levels, abnormalities in the laboratory range are said to occur in about 15% of hospitalized patients [7]; a U-shaped curve is described with major morbidity and mortality at the extremes of the sodium distribution in many patient groups including general internal medicine patients (13)(14)(15). Hyponatraemia in particular is prognostic for specific groups of patients with cardiovascular disease, such as congestive heart failure [16,17] but also for patients with pulmonary hypertension [18].…”

Section: Introductionmentioning

confidence: 99%

Admission Potassium / Sodium Ratio Linearly Predicts Mortality Outcome Following an Emergency Medical Admission

2019

Internal Med Res Open J

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Comprehensive complexity assessment as a key tool for the prediction of in-hospital mortality in heart failure of aged patients admitted to internal medicine wards

Cited by 10 publications

References 39 publications

Monitoring of drug‐associated electrolyte disturbances in a hospital

Monitoring of drug‐associated electrolyte disturbances in a hospital

The CONFINE (Comorbidities and Outcome iN patients with chronic heart Failure: a study in INternal mEdicine units) study: a new epidemiologic observational study on heart failure in the internal medicine departments in Italy

Admission Potassium / Sodium Ratio Linearly Predicts Mortality Outcome Following an Emergency Medical Admission

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