1. Inicio
  2. Publicaciones
  3. Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure

Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Martin-Sanchez, FJ
  • Garcia, GL
  • Harmand, MGC
  • Perez, CF
  • del Castillo, JG
  • Llorens, P
  • Herrero, P
  • Jacob, J
  • Gil, V
  • Dominguez-Rodriguez, A
  • Rossello, X
  • Miro, O
  • Adrada, ER
  • Santos, MC
  • Salgado, L
  • Brizzi, BN
  • Docavo, ML
  • Cadenas, MS
  • Xipell, C
  • Sanchez, C
  • Aguilo, S
  • Gaytan, JM
  • Jerez, A
  • Lopez-Grima, ML
  • Valero, A
  • Aguirre, A
  • Pedragosa, MA
  • Pinera, P
  • Aragues, PL
  • Nicolas, JAS
  • Rizzi, MA
  • Mateo, SH
  • Alquezar, A
  • Roset, A
  • Ferrer, C
  • Llopis, F
  • Perez, JMA
  • Diez, MPL
  • Richard, F
  • Fernandez-Canadas, JM
  • Carratala, JM
  • Javaloyes, P
  • Andueza, JA
  • Fernandez, JAS
  • Romero, R
  • Loranc, MM
  • Rodriguez, VA
  • Lorca, MT
  • Calderon, L
  • Ferrer, ES
  • Garrido, JM
  • Mojarro, EM

Grupos

Abstract

Objective: To assess the value of frailty screening tool (Identification of Senior at Risk [ISAR]) in predicting 30-day mortality risk in older patients attended in emergency department (ED) for acute heart failure (AHF). Design: Observational multicenter cohort study. Setting: OAK-3 register. Subjects: Patients aged >= 65 years attended with ADHF in 16 Spanish EDs from January to February 2016. Intervention: No. Variables: Variable of study was ISAR scale. The outcome was all-cause 30-day mortality. Results: We included 1059 patients (mean age 85 +/- 5,9 years old). One hundred and sixty (15.1%) cases had 0-1 points, 278 (26.3%) 2 points, 260 (24.6%) 3 points, 209 (19.7%) 4 points, and 152 (14.3%) 5-6 points of ISAR scale. Ninety five (9.0%) patients died within 30 days. The percentage of mortality increased in relation to ISAR category (lineal trend P value < .001). The area under curve of ISAR scale was 0.703 (95%Cl 0.655-0.751; P<.001). After adjusting for EFFECT risk categories, we observed a progressive increase in odds ratios of ISAR scale groups compared to reference (0-1 points). Conclusions: scale is a brief and easy toot that should be considered for frailty screening during initial assessment of older patients attended with AHF for predicting 30-day mortality. (C) 2018 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0210-5691, 1578-6749

MEDICINA INTENSIVA  ELSEVIER DOYMA SL

Tipo:
Article
Páginas:
9-17
PubMed:
30166245
Factor de Impacto:
0,336 SCImago ℠
Cuartil:
Q3 SCImago ℠

Citas Recibidas en Web of Science: 11

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Identification of senior at risk; Older; Emergency department; Frailty; Mortality

Proyectos y Estudios Clínicos

PRAGMATIC, CONTROLLED, INTERNATIONAL STUDY CONDUCTED IN SEVERAL CENTRES ON THE SAFETY AND THERAPEUTIC EFFECT OF A HYDROXYLETHYL-STARCH (HES) SOLUTION VERSUS AN ELECTROLYTE SOLUTION IN TRAUMA PATIENTS.

Investigador Principal: ÓSCAR DÍAZ CAMBRONERO

HC-G-H-1505 . 2018

EFECTO DE V0251 EN EL VÉRTIGO AGUDO. ESTUDIO ALEATORIZADO, DOBLE CIEGO Y CONTROLADO CON PLACEBO.

Investigador Principal: HERMINIO PÉREZ GARRIGUES

V00251IV2024A

PERFIL DE RIESGO DE LOS PACIENTES CON ETV EN HOSPITALES ESPAÑOLES ATENDIDOS EN LOS SERVICIOS DE URGENCIAS E IMPACTO ASISTENCIAL: REGISTRO ESPHERIA.

Investigador Principal: MARÍA JOSÉ PÉREZ DURÁ

ESPHERIA

PLANIFICACIÓN DEL ALTA DESDE URGENCIAS PARA REDUCIR REINGRESOS A 30 DÍAS EN MAYORES FRÁGILES CON INSUFICIENCIA CARDÍACA AGUDA: ENSAYO CLÍNICO ALEATORIZADO POR CONGLOMERADOS PAREADO.

Investigador Principal: CARMEN GARGALLO MAICAS

DEED FRAIL-AHF . 2019

Cita

Compartir