- 作者：Francisco Javier Mart¨ªn-S¨¢nchez ; Roc¨ªo Marino-Genicio ; Esther Rodr¨ªguez-Adrada ; Javier Jacob ; Pablo Herrero ; ¨°scar Mir¨® ; Pere Llorens ; Jos¨¦ Manuel Ribera-Casado ; en representaci¨®n del Grupo ICA-SEMES
- 关键词：IC ; insuficiencia cardiaca ; ICA ; insuficiencia cardiaca aguda ; SUH ; servicios de urgencias hospitalarios
- 刊名：Revista Espa?ola de Cardiologa
- 出版年：2013
- 出版时间：September, 2013
- 年：2013
- 卷：66
- 期：9
- 页码：715-720
- 全文大小：255 K
Introduction and objectives
To investigate possible age-related differences in the profile, clinical symptoms, management, and short-term outcomes of patients seen for acute heart failure in Spanish emergency departments.
Methods
We performed a multipurpose, multicenter study with prospective follow-up including all patients with acute heart failure attended in 29 Spanish emergency departments. The following variables were collected: demographic, personal history, geriatric syndromes, data of acute episode, discharge destination, in-hospital and 30-day mortality and 30-day revisit. The sample was divided into 4 age groups: <65, 65-74, 75-84, and ¡Ý85 years.
Results
We included 5819 patients: 493 (8.5 % ) were <65 years old, 971 (16.7 % ) were 65-74 years old, 2407 (41.4 % ) were 75-84 years old, and 1948 (33.5 % ) were ¡Ý85 years old; 4424 patients (76.5 % ) were admitted from the emergency department, 251 of whom (4.5 % ) died during hospitalization. Statistically significant differences were observed in?relation to cardiovascular risk factors, comorbidities, geriatric syndromes, clinical presentation, and diagnostic and therapeutic procedures based on an increase in the age of the groups. A statistically significant linear trend was observed between age group and the probability of hospital admission (P<.001), and hospital (P<.001) and 30-day mortality (P<.001).
Conclusions
The management of acute heart failure in elderly patients requires a multidimensional approach which goes beyond merely cardiological aspects of treatment.
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