Search: onr:"swepub:oai:DiVA.org:lnu-90812" >
Precipitant Factors...
Precipitant Factors of Heart Failure Decompensation in Patients Attended in Primary Care, the Hefestos Study
-
Munoz, Miguel-Angel (author)
-
Vaillant-Roussel, Helene (author)
-
Glynn, Liam (author)
-
show more...
-
Assenova, Radost (author)
-
Torsza, Peter (author)
-
Gril, Lea (author)
-
Lingner, Heidrun (author)
-
Demurtas, Jacopo (author)
-
- Thulesius, Hans (author)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Region Kronoberg, Sweden
-
Lazic, Djurdjica (author)
-
Verdu-Rotellar, Jose-Maria (author)
-
Abellana, Rosa (author)
-
show less...
-
(creator_code:org_t)
- 2019
- 2019
- English.
-
In: Circulation. - 0009-7322 .- 1524-4539. ; 140
- Related links:
-
https://www.ahajourn...
-
show more...
-
https://urn.kb.se/re...
-
show less...
Abstract
Subject headings
Close
- Introduction: Most knowledge about the main causes of heart failure decompensation come from hospital setting. However, evidence coming from primary care is scarce.Hypothesis: It is possible to identify the main causes of decompensation of HF in order to prevent and treat themMethods: HEFESTOS is a multinational collaborative cohort study carried out in 10 European countries, aimed at knowing the main precipitant factors related to a heart failure decompensation, attended in primary care setting and its relationship to the prognosis at short term. Patients were consecutively recruited and followed for one month after the decompensationResults: 685 patients were prospectively included. Women represented 54.5% and mean age was 81.2 (DE 8.90) years. Potential causative factors for decompensated heart failure were identified in 77.9 % of cases. More than one factor was identified in 35.9% of patients. Respiratory infections, Non-compliance with fluid or salt restriction, non-medication adherence, and atrial fibrillation, were the most commonly identified factors (28.2%, 26.8%, 22.8% and 14.5%, respectively). A total of 28.2% of patients were hospitalized and 3.5% died. After adjusting for potential confounding factors, only respiratory infections and atrial fibrillation were significantly associated with hospitalization or mortality (OR 1.19, 95%CI 1.09-1.19 and 1.22, 95%CI, 1.10-1.35), respectivelyConclusions: An early identification and treatment of respiratory infection and atrial fibrillation would help to prevent hospitalizations and mortality in heart failure patients presenting heart failure decompensation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Medicin
- Medicine
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Munoz, Miguel-An ...
-
Vaillant-Roussel ...
-
Glynn, Liam
-
Assenova, Radost
-
Torsza, Peter
-
Gril, Lea
-
show more...
-
Lingner, Heidrun
-
Demurtas, Jacopo
-
Thulesius, Hans
-
Lazic, Djurdjica
-
Verdu-Rotellar, ...
-
Abellana, Rosa
-
show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Clinical Medicin ...
-
and Cardiac and Card ...
- Articles in the publication
-
Circulation
- By the university
-
Linnaeus University