RT Journal Article
T1 The Effect of Frailty on 30-day Mortality Risk in Older Patients With Acute Heart Failure Attended in the Emergency Department
A1 Martín Sánchez, Francisco Javier
A1 Rodríguez Adrada, Esther
A1 Vidán Astiz, María Teresa
A1 Fernández Pérez, Cristina
A1 Miró, Oscar
A1 Cuadrado Cenzual, María Ángeles
AB Objective: The objective was to determine the effect of frailty on risk of 30-day mortality in nonseverely disabled older patients with acute heart failure (AHF) attended in emergency departments (EDs).Methodology: The Frailty-AHF Study is a retrospective analysis of a multicenter, observational, prospective, cohort study (Older-AHF Register). This study included consecutive patients ≥ 65 years of age without severe functional dependence or dementia attended for AHF in three Spanish EDs for 4 months. Frailty was defined by frailty phenotype as the presence of three or more domains. Baseline and episode characteristics and 30-day mortality were collected in all the patients.Results: A total of 465 patients with a mean (±SD) age of 82 (±7) years were included, 283 (61.0%) being female and 225 (51.3%) with severe comorbidity (Charlson index ≥ 3). Frailty was present in 169 (36.3%). The rate of 30-day mortality was 7.3%. Frailty adjusted for potential confounding factors was an independent factor associated with 30-day mortality (adjusted hazard ratio = 2.5; 95% confidence interval = 1.0 to 6.0; p = 0.047).Conclusion: The presence of frailty is an independent risk factor of 30-day mortality in nonsevere dependent older patients attended with AHF in EDs.
PB Wiley
SN 1069-6563
YR 2017
FD 2017-10-16
LK https://hdl.handle.net/20.500.14352/99356
UL https://hdl.handle.net/20.500.14352/99356
LA eng
NO Martín-Sánchez FJ, Rodríguez-Adrada E, Mueller C, Vidán MT, Christ M, Frank Peacock W, Rizzi MA, Alquezar A, Piñera P, Aragues PL, Llorens P, Herrero P, Jacob J, Fernández C, Miró Ò. The Effect of Frailty on 30-day Mortality Risk in Older Patients With Acute Heart Failure Attended in the Emergency Department. Acad Emerg Med. 2017 Mar;24(3):298-307. doi: 10.1111/acem.13124
DS Docta Complutense
RD 9 abr 2025