Publications by authors named "Rizzi Miguel Alberto"
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.
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.
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.
Aims: Heart failure (HF) is prevalent in older adults and is associated with impaired physical and cognitive function. However, these factors are rarely included in studies about long-term prognosis of HF. The aim of the study was to determine whether functional status and delirium at admission (prevalent delirium) would predict 1-year mortality in patients with decompensated HF (DHF).
View Article and Find Full Text PDFThe objectives were to determine the impact of frailty and disability on 30-day mortality and whether the addition of these variables to HFRSS EFFECT risk score (FBI-EFFECT model) improves the short-term mortality predictive capacity of both HFRSS EFFECT and BI-EFFECT models in older patients with acute decompensated heart failure (ADHF) atended in the emergency department. We performed a retrospective analysis of OAK Registry including all consecutive patients ≥65 years old with ADHF attended in 3 Spanish emergency departments over 4 months. FBI-EFFECT model was developed by adjusting probabilities of HFRSS EFFECT risk categories according to the 6 groups (G1: non frail, no or mildly dependent; G2: frail, no or mildly dependent; G3: non frail, moderately dependent; G4: frail, moderately dependent; G5: severely dependent; G6: very severely dependent).
View Article and Find Full Text PDFObjective: 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.
Objective: Patients with heart failure (HF) seen at the emergency department (ED) are increasingly older and more likely to present delirium. Little is known, however, about the impact of this syndrome on outcome in these patients. We aimed to investigate the prognostic value and risk factors of delirium at admission (prevalent delirium) in ED patients with decompensated HF.
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