Introduction And Objectives: Hospitalization for heart failure (HHF) is common in patients with atrial fibrillation (AF) and is associated with increased mortality. The aims of this study were to determine the incidence of HHF, identify the clinical predictors of its occurrence, and develop a new risk scale.
Methods: The incidence of HHF was estimated using data from the prospective single-center REFLEJA registry of outpatients with AF (October 2017-October 2018). A multivariate Cox regression model was calculated to detect HHF predictors, and a nomogram was created for individual risk assessment.
Results: Of the 1499 patients included (mean age 73.8±11.1 years, 48.1% women), 127 had HHF (incidence rate of 8.51 per 100 persons/y) and 319 died (rate of death from any cause of 21.1 per 100 persons/y) after a 3-year follow-up. The independent predictors of HHF were age, diabetes, chronic kidney disease, pulmonary hypertension, previous pacemaker implantation, baseline use of diuretics, and moderate-severe aortic regurgitation. The c-statistic for predicting the event was 0.762 (95%CI after boostrapping resampling, 0.753-0.791). The cumulative incidences of the main outcome for the risk scale quartiles were 1.613 (Q1), 3.815 (Q2), 8.378 (Q3), and 20.436 (Q4) cases per 100 persons/y (P <.001).
Conclusions: HHF was common in this AF cohort. The combination of certain clinical characteristics can identify patients with a very high risk of HHF.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.rec.2024.02.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Incidence and prediction of hospitalization for heart failure in patients with atrial fibrillation: the REFLEJA scale.
Rev Esp Cardiol (Engl Ed)
September 2024
Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain.
Introduction And Objectives: Hospitalization for heart failure (HHF) is common in patients with atrial fibrillation (AF) and is associated with increased mortality. The aims of this study were to determine the incidence of HHF, identify the clinical predictors of its occurrence, and develop a new risk scale.
Methods: The incidence of HHF was estimated using data from the prospective single-center REFLEJA registry of outpatients with AF (October 2017-October 2018).
Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage: The Swiss Study on Subarachnoid Hemorrhage (Swiss SOS).
Stroke
January 2021
Neurosurgery (B.S., A.S., M.C., P.B., K.S.), University Hospital Geneva, Switzerland.
Background And Purpose: The purpose of this study was to assess nationwide incidence and outcomes of aneurysmal subarachnoid hemorrhage (aSAH). The Swiss SOS (Swiss Study on Subarachnoid Hemorrhage) was established in 2008 and offers the unique opportunity to provide this data from the point of care on a nationwide level.
Methods: All patients with confirmed aneurysmal subarachnoid hemorrhage admitted between January 1, 2009 and December 31, 2014, within Switzerland were recorded in a prospective registry.
Home Mechanical Ventilation: A 12-Year Population-Based Retrospective Cohort Study.
Respir Care
April 2018
Institute for Clinical Evaluative Sciences, the Department of Medicine, Sunnybrook Health Sciences Centre, and the Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Background: Increasing numbers of individuals are being initiated on home mechanical ventilation, including noninvasive (bi-level) and invasive mechanical ventilation delivered via tracheostomy due to chronic respiratory failure to enable symptom management and promote quality of life. Given the high care needs of these individuals, a better understanding of the indications for home mechanical ventilation, and health-care utilization is needed.
Methods: We performed a retrospective cohort study using provincial health administrative data from Ontario, Canada (population ∼13,000,000).
What's Next After ARDS: Long-Term Outcomes.
Respir Care
May 2016
Dipartimento di Anestesia e Rianimazione (Intensiva e Subintensiva) e Terapia del dolore, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy.
ARDS is a life-threatening organ failure due to several pulmonary and extrapulmonary injuries with an incidence between 5 and 60 cases/100,000 persons/y. Patients with ARDS have non-cardiogenic pulmonary edema and dyspnea often requiring invasive mechanical ventilation and intensive care admission. Although the short-term mortality rate has significantly decreased in the last decade, mainly due to the widespread application of lung-protective ventilation and better general support, long-term outcomes are still unsatisfactory.
View Article and Find Full Text PDFEvaluation of factors associated with work-related injuries to veterinary technicians certified in Minnesota.
J Am Vet Med Assoc
August 2014
Midwest Center for Occupational Health and Safety Education and Research Center and Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455., Minnesota Department of Health, 625 Robert St N, Saint Paul, MN 55164.
Objective: To evaluate the magnitude and consequences of work-related injuries and associated factors among veterinary technicians certified in Minnesota.
Design: Cross-sectional survey.
Sample: 1,427 certified veterinary technicians (CVTs).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!