Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients
BACKGROUND: Heart failure (HF) is frequent and its prevalence is increasing. We aimed to evaluate the epidemiologic features of HF patients, the 1-year follow-up outcomes and the independent predictors of those outcomes at a population level. METHODS AND RESULTS: Population-based longitudinal study...
| Authors: | ; ; ; ; ; ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2017 |
| Country: | España |
| Institution: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repository: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/33995 |
| Online Access: | http://hdl.handle.net/10230/33995 http://dx.doi.org/10.1371/journal.pone.0172745 |
| Access Level: | Open access |
| Keyword: | Infart de miocardi -- Epidemiologia |
| _version_ | 1878730744849760256 |
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| author | Farré López, Núria |
| author2 | Vela, Emili Clèries, Montse Bustins, Montse Cainzos-Achirica, Miguel Enjuanes Grau, Cristina Moliner Borja, Pedro Ruiz-Bustillo, Sonia Verdú-Rotellar, José María Comín Colet, Josep |
| author2_role | author author author author author author author author author |
| author_browse | Bustins, Montse Cainzos-Achirica, Miguel Clèries, Montse Comín Colet, Josep Enjuanes Grau, Cristina Farré López, Núria Moliner Borja, Pedro Ruiz-Bustillo, Sonia Vela, Emili Verdú-Rotellar, José María |
| author_facet | Farré López, Núria Vela, Emili Clèries, Montse Bustins, Montse Cainzos-Achirica, Miguel Enjuanes Grau, Cristina Moliner Borja, Pedro Ruiz-Bustillo, Sonia Verdú-Rotellar, José María Comín Colet, Josep |
| author_role | author |
| collection | Recercat. Dipósit de la Recerca de Catalunya |
| description | BACKGROUND: Heart failure (HF) is frequent and its prevalence is increasing. We aimed to evaluate the epidemiologic features of HF patients, the 1-year follow-up outcomes and the independent predictors of those outcomes at a population level. METHODS AND RESULTS: Population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on December 31st, 2012. Patients were divided in 3 groups: patients without a previous HF hospitalization, patients with a remote (>1 year) HF hospitalization and patients with a recent (<1 year) HF admission. We analyzed 1year all-cause and HF hospitalizations, and all-cause mortality. Logistic regression was used to identify the independent predictors of each of those outcomes. A total of 88,195 patients were included. Mean age was 77 years, 55% were women. Comorbidities were frequent. Fourteen percent of patients had never been hospitalized, 71% had a remote HF hospitalization and 15% a recent hospitalization. At 1-year follow-up, all-cause and HF hospitalization were 53% and 8.8%, respectively. One-year all-cause mortality rate was 14%, and was higher in patients with a recent HF hospitalization (24%). The presence of diabetes mellitus, atrial fibrillation or chronic kidney disease was independently associated with all-cause and HF hospitalization and all-cause mortality. Hospital admissions and emergency department visits the previous year were also found to be independently associated with the three study outcomes. CONCLUSIONS: Outcomes are different depending on the HF population studied. Some comorbidity, an all-cause hospitalization or emergency department visit the previous year were associated with a worse outcome. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_227fefa43885dbfbaffc8a630b64edd9 |
| institution | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| instname_str | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:recercat.cat:10230/33995 |
| publishDate | 2017 |
| publishDateSort | 2017 |
| publisher | Public Library of Science (PLoS) |
| publisherStr | Public Library of Science (PLoS) |
| reponame_str | Recercat. Dipósit de la Recerca de Catalunya |
| spelling | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients Farré López, Núria Vela, Emili Clèries, Montse Bustins, Montse Cainzos-Achirica, Miguel Enjuanes Grau, Cristina Moliner Borja, Pedro Ruiz-Bustillo, Sonia Verdú-Rotellar, José María Comín Colet, Josep Infart de miocardi -- Epidemiologia BACKGROUND: Heart failure (HF) is frequent and its prevalence is increasing. We aimed to evaluate the epidemiologic features of HF patients, the 1-year follow-up outcomes and the independent predictors of those outcomes at a population level. METHODS AND RESULTS: Population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on December 31st, 2012. Patients were divided in 3 groups: patients without a previous HF hospitalization, patients with a remote (>1 year) HF hospitalization and patients with a recent (<1 year) HF admission. We analyzed 1year all-cause and HF hospitalizations, and all-cause mortality. Logistic regression was used to identify the independent predictors of each of those outcomes. A total of 88,195 patients were included. Mean age was 77 years, 55% were women. Comorbidities were frequent. Fourteen percent of patients had never been hospitalized, 71% had a remote HF hospitalization and 15% a recent hospitalization. At 1-year follow-up, all-cause and HF hospitalization were 53% and 8.8%, respectively. One-year all-cause mortality rate was 14%, and was higher in patients with a recent HF hospitalization (24%). The presence of diabetes mellitus, atrial fibrillation or chronic kidney disease was independently associated with all-cause and HF hospitalization and all-cause mortality. Hospital admissions and emergency department visits the previous year were also found to be independently associated with the three study outcomes. CONCLUSIONS: Outcomes are different depending on the HF population studied. Some comorbidity, an all-cause hospitalization or emergency department visit the previous year were associated with a worse outcome. Public Library of Science (PLoS) http://hdl.handle.net/10230/33995 http://dx.doi.org/10.1371/journal.pone.0172745 |
| spellingShingle | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients Farré López, Núria Infart de miocardi -- Epidemiologia |
| status_str | publishedVersion |
| title | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| title_full | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| title_fullStr | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| title_full_unstemmed | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| title_short | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| title_sort | Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients |
| topic | Infart de miocardi -- Epidemiologia |
| topic_facet | Infart de miocardi -- Epidemiologia |
| url | http://hdl.handle.net/10230/33995 http://dx.doi.org/10.1371/journal.pone.0172745 |