2026-06-14T03:55:05Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/138192025-05-08T11:03:46Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613

00925njm 22002777a 4500 dc Prado-Galbarro, Francisco Javier author Gamiño-Arroyo, Ana Estela author Sanchez-Piedra, Carlos author Sánchez-Pájaro, Andrés author Sarria-Santamera, Antonio author 2019 [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] Arch Cardiol Mex. 2019;89(1):118-125. 10.24875/ACME.M19000034 1665-1731 Archivos de Cardiologia de Mexico 31702737 http://hdl.handle.net/20.500.12105/13819 Heart failure Primary care Hospitalization Mortality Propensity score Spain Insuficiencia cardiaca Atención primaria Hospitalización Mortalidad España Evaluation of the effect of hospitalization on mortality in patients with heart failure followed in primary care