dc.contributor.author | Prado-Galbarro, Fancisco Javier | |
dc.contributor.author | Gamiño-Arroyo, Ana Estela | |
dc.contributor.author | Sánchez-Piedra, Carlos | |
dc.contributor.author | Sánchez-Pájaro, Andrés | |
dc.contributor.author | Sarria-Santamera, Antonio | |
dc.date.accessioned | 2022-03-25T12:06:00Z | |
dc.date.available | 2022-03-25T12:06:00Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Arch Cardiol Mex. 2019;89(1):118-125. | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/13819 | |
dc.description.abstract | [EN] Background: Heart failure (HF) is a serious health-care problem. The aim of this study is to evaluate the effect of the first acute episode of decompensated HF that requires a hospitalization on the survival of newly diagnosed cases of HF with follow-up for 5 years in primary care (PC). Methods: This was a longitudinal observational study of a retrospective cohort of patients with information extracted from electronic medical records of PC. Incident cases of HF from 2006 to 2010 or until death were studied through a survival analysis with Kaplan-Meier and Cox proportional hazards multivariate regression, after applying the propensity score matching technique (PSM). Results: A total of 3061 new cases of HF were identified. The PSM analysis was performed with 529 couples, with a total of 1058 patients. 5-year survival was 65% in no hospitalized and 53% in hospitalized patients. Factors with an increased risk of mortality were having prescribed nitrates (heart rate [HR] = 1.56; 1.08-2.24). Factors with protective effect were having received the annual influenza vaccine (HR = 0.04; 0.01-0.15) and having been indicated X-rays by PC physician (HR = 0.76; 0.67-0.88). Conclusions: The findings indicate that hospitalizations are associated with a significant increase in mortality in patients recently diagnosed with HF. It is important to reinforce the need for the prevention of acute decompensated HF and for strategies to improve post-discharge outcomes. [ES] | es_ES |
dc.description.sponsorship | REDISSEC (RETIC RD12/0001) and BRIGE HEALTH (European Union Health Program (2014-2020) project 6 6 4691). | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Instituto Nacional de Cardiología Ignacio Chávez | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Heart failure | es_ES |
dc.subject | Primary care | es_ES |
dc.subject | Hospitalization | es_ES |
dc.subject | Mortality | es_ES |
dc.subject | Propensity score | es_ES |
dc.subject | Spain | es_ES |
dc.subject | Insuficiencia cardiaca | es_ES |
dc.subject | Atención primaria | es_ES |
dc.subject | Hospitalización | es_ES |
dc.subject | Mortalidad | es_ES |
dc.subject | España | es_ES |
dc.subject.mesh | Hospitalization | es_ES |
dc.subject.mesh | Primary Health Care | es_ES |
dc.subject.mesh | Aged | es_ES |
dc.subject.mesh | Aged, 80 and over | es_ES |
dc.subject.mesh | Cohort Studies | es_ES |
dc.subject.mesh | Female | es_ES |
dc.subject.mesh | Heart Failure | es_ES |
dc.subject.mesh | Humans | es_ES |
dc.subject.mesh | Longitudinal Studies | es_ES |
dc.subject.mesh | Male | es_ES |
dc.subject.mesh | Retrospective Studies | es_ES |
dc.subject.mesh | Survival Rate | es_ES |
dc.title | Evaluation of the effect of hospitalization on mortality in patients with heart failure followed in primary care | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 31702737 | es_ES |
dc.format.volume | 89 | es_ES |
dc.format.number | 1 | es_ES |
dc.format.page | 118-125 | es_ES |
dc.identifier.doi | 10.24875/ACME.M19000034 | es_ES |
dc.contributor.funder | RETICS-Servicios de Salud Orientados a Enfermedades Crónicas (REDISSEC-ISCIII) (España) | es_ES |
dc.contributor.funder | Unión Europea. Comisión Europea | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1665-1731 | es_ES |
dc.relation.publisherversion | https://doi.org/10.24875/ACME.M19000034 | es_ES |
dc.identifier.journal | Archivos de Cardiologia de Mexico | es_ES |
dc.repisalud.centro | ISCIII::Escuela Nacional de Sanidad | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/664691 | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/MINECO//RD12%2F0001%2F0004/ES/Servicios de Salud orientados a enfermedades crónicas/ | es_ES |