Publications by authors named "Jose Maria Alvarez Perez"

Article Synopsis
  • * A total of 12,595 AHF patients were analyzed, comparing those who received furosemide from EMS (FAST-FURO group) and those who didn’t (CONTROL group).
  • * Results showed higher in-hospital and 30-day mortality rates in the FAST-FURO group compared to the CONTROL group, but when adjusting for underlying health differences, early furosemide did not lead to improved outcomes.
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Objective: To identify patients at risk of in-hospital mortality and adverse outcomes during the vulnerable post-discharge period after the first acute heart failure episode (de novo AHF) attended at the emergency department.

Methods: This is a secondary review of de novo AHF patients included in the prospective, multicentre EAHFE (Epidemiology of Acute Heart Failure in Emergency Department) Registry. We included consecutive patients with de novo AHF, for whom 29 independent variables were recorded.

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Introduction: The presence of iron deficiency (ID) in patients with acute heart failure (AHF) is high. There are few studies on the characteristics of these patients and the safety of ferric carboxymaltose administration (FCM).

Objective: Study the differences among patients with AHF based on the presence and type of ID as well as the safety of FCM administration in these patients.

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Article Synopsis
  • The study focused on how the length of hospitalisation (LOH) affects the outcomes of patients with acute heart failure (AHF) after they are discharged, comparing results across different hospital departments.
  • Out of 8,563 patients analyzed, 90-day outcomes showed that longer hospital stays led to higher post-discharge mortality rates, particularly for those staying over 15 days, but readmission rates remained constant regardless of LOH.
  • The research concluded that shorter hospital stays do not lead to worse outcomes, and higher mortality risks associated with longer stays were consistent across various hospital departments.
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Objective: To compare the clinical characteristics and outcomes of patients with acute heart failure (AHF) according to clinical profiles based on congestion and perfusion determined in the emergency department (ED).

Methods And Results: Overall, 11 261 unselected AHF patients from 41 Spanish EDs were classified according to perfusion (normoperfusion = warm; hypoperfusion = cold) and congestion (not = dry; yes = wet). Baseline and decompensation characteristics were recorded as were the main wards to which patients were admitted.

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Article Synopsis
  • The study investigates how the risk of malnutrition affects 30-day mortality rates in elderly patients experiencing acute heart failure (AHF) in emergency departments.
  • It analyzed data from 749 patients aged 65 and older, finding that 79.3% were at risk of malnutrition and the overall 30-day mortality rate was 8.8%.
  • The results indicate that malnutrition is a significant independent factor for higher 30-day mortality, suggesting that routine screening for malnutrition could improve patient care and management in emergency settings.
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