Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients

Farré López, Núria; Vela, Emili; Clèries, Montse; Bustins, Montse; Cainzos-Achirica, Miguel; Enjuanes Grau, Cristina; Moliner Borja, Pedro; Ruíz Bustillo, Sonia; Verdú-Rotellar, José María; Comín Colet, Josep

Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients

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dc.contributor.author Farré López, Núriaca
dc.contributor.author Vela, Emilica
dc.contributor.author Clèries, Montseca
dc.contributor.author Bustins, Montseca
dc.contributor.author Cainzos-Achirica, Miguelca
dc.contributor.author Enjuanes Grau, Cristinaca
dc.contributor.author Moliner Borja, Pedroca
dc.contributor.author Ruíz Bustillo, Soniaca
dc.contributor.author Verdú-Rotellar, José Maríaca
dc.contributor.author Comín Colet, Josepca
dc.date.accessioned 2018-02-26T08:11:27Z
dc.date.available 2018-02-26T08:11:27Z
dc.date.issued 2017
dc.description.abstract BACKGROUND: Heart failure (HF) is frequent and its prevalence is increasing. We aimed to evaluate the epidemiologic features of HF patients, the 1-year follow-up outcomes and the independent predictors of those outcomes at a population level. METHODS AND RESULTS: Population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on December 31st, 2012. Patients were divided in 3 groups: patients without a previous HF hospitalization, patients with a remote (>1 year) HF hospitalization and patients with a recent (<1 year) HF admission. We analyzed 1year all-cause and HF hospitalizations, and all-cause mortality. Logistic regression was used to identify the independent predictors of each of those outcomes. A total of 88,195 patients were included. Mean age was 77 years, 55% were women. Comorbidities were frequent. Fourteen percent of patients had never been hospitalized, 71% had a remote HF hospitalization and 15% a recent hospitalization. At 1-year follow-up, all-cause and HF hospitalization were 53% and 8.8%, respectively. One-year all-cause mortality rate was 14%, and was higher in patients with a recent HF hospitalization (24%). The presence of diabetes mellitus, atrial fibrillation or chronic kidney disease was independently associated with all-cause and HF hospitalization and all-cause mortality. Hospital admissions and emergency department visits the previous year were also found to be independently associated with the three study outcomes. CONCLUSIONS: Outcomes are different depending on the HF population studied. Some comorbidity, an all-cause hospitalization or emergency department visit the previous year were associated with a worse outcome.
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dc.identifier.citation Farré N, Vela E, Clèries M, Bustins M, Cainzos-Achirica M, Enjuanes C. et al. Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patients. PLoS One. 2017 Feb 24;12(2):e0172745. DOI: 10.1371/journal.pone.0172745
dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0172745
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10230/33995
dc.language.iso eng
dc.publisher Public Library of Science (PLoS)ca
dc.relation.ispartof PLoS One. 2017 Feb 24;12(2):e0172745
dc.rights © 2017 Farré et al. This is an open access article distributed under the terms of the https://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.subject.other Infart de miocardi -- Epidemiologia
dc.title Real world heart failure epidemiology and outcome: a population-based analysis of 88,195 patientsca
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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