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• W1996277789 abstract "Investigar los factores asociados a la mortalidad a corto plazo en los pacientes ancianos que acuden a urgencias por un episodio de insuficiencia cardiaca aguda. Estudio de cohortes, analítico-prospectivo, multicéntrico y sin intervención. Se incluyó a pacientes de 65 o más años atendidos en ocho servicios de urgencias de hospitales terciarios españoles. Se analizaron 28 variables independientes (epidemiológicas, clínicas y funcionales) que pudieran influir en la mortalidad a 30 días. Los datos se obtuvieron mediante la consulta de la historia clínica o la entrevista con el paciente o su familia. Se realizó un estudio multivariable mediante regresión logística. Se incluyó a 623 pacientes, de los que 42 (6,7%) habían fallecido a los 30 días de la consulta en urgencias. Cuatro variables se asociaron de forma significativa con la mortalidad: la dependencia funcional basal (índice de Barthel ≤ 60, odds ratio [OR] = 2,9; intervalo de confianza [IC] del 95%, 1,2-6,5), clases III y IV de la NYHA (OR = 3; IC del 95%, 1,3-7), presión arterial sistólica < 100 mmHg (OR = 4,8; IC del 95%, 1,6-14,5) y natremia < 135 mEq/l (OR = 4,2; IC del 95%, 1,8-9,6). Existen diversos factores disponibles tras una primera valoración en urgencias, entre ellos la dependencia funcional del paciente, que determinan un mal pronóstico a corto plazo del paciente anciano que consulta por un episodio de insuficiencia cardiaca aguda. To investigate factors associated with short-term mortality in elderly patients seen in emergency departments for an episode of acute heart failure. A prospective, non-interventional, multicenter, cohort study was carried out in patients aged 65 years and older who were treated in the emergency department of one of eight tertiary hospitals in Spain. Twenty-eight independent variables that could influence mortality at 30 days were assessed. They covered epidemiological and clinical factors and daily functioning. Data were obtained by reviewing medical records or by interviewing the patient or a relative. Multivariate logistic regression analysis was performed. The study included 623 patients, 42 of whom (6.7%) died within 30 days of visiting the emergency department. Four variables were significantly associated with higher mortality: functional dependence at baseline (i.e., Barthel index=60; odds ratio [OR]=2.9; 95% confidence interval [CI], 1.2-6.5), New York Heart Association class III-IV (OR=3; 95% CI, 1.3-7), systolic blood pressure <100 mmHg (OR=4.8; 95% CI, 1.6-14.5) and blood sodium <135 mEq/l (OR=4.2; 95% CI, 1.8-9.6). Several factors evaluated on initial assessment in the emergency department, including the level of functional dependence, were found to determine a poor short-term prognosis in elderly patients who present with an episode of acute heart failure." @default.
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• W1996277789 date "2009-07-01" @default.
• W1996277789 modified "2023-10-16" @default.
• W1996277789 title "Factores pronósticos a corto plazo en los ancianos atendidos en urgencias por insuficiencia cardiaca aguda" @default.
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• W1996277789 doi "https://doi.org/10.1016/s0300-8932(09)71689-6" @default.
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