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Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure

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dc.contributor.author Martín Sánchez, Francisco Javier
dc.contributor.author Llopis García, G.
dc.contributor.author González-Colaço Harmand, Magali
dc.contributor.author Fernández Pérez, Cristina
dc.contributor.author González del Castillo, J.
dc.contributor.author Llorens, Pere
dc.contributor.author Herrero, Pablo
dc.contributor.author Jacob, Javier
dc.contributor.author Gil, Víctor
dc.contributor.author Domínguez Rodríguez, Alberto 
dc.date.accessioned 2018-10-30T10:06:37Z
dc.date.available 2018-10-30T10:06:37Z
dc.date.issued 2018-08-27
dc.identifier.citation Martín-Sánchez, F. J., Llopis, G. G., González-Colaço, M. H., Fernandez, C. P., González, J. D. C., Llorens, P., ... & Rossello, X. (2018). Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure. Medicina Intensiva. https://doi.org/10.1016/j.medin.2018.07.009 [Epub ahead of print] spa
dc.identifier.issn 0210-5691
dc.identifier.issn 1578-6749
dc.identifier.uri http://hdl.handle.net/11268/7531
dc.description.abstract OBJECTIVE: To assess the value of frailty screening tool (Identification of Senior at Risk [ISAR]) in predicting 30-day mortality risk in older patients attended in emergency department (ED) for acute heart failure (AHF). DESIGN: Observational multicenter cohort study. SETTING: OAK-3 register. SUBJECTS: Patients aged ≥65 years attended with ADHF in 16 Spanish EDs from January to February 2016. INTERVENTION: No. VARIABLES: Variable of study was ISAR scale. The outcome was all-cause 30-day mortality. RESULTS: We included 1059 patients (mean age 85±5,9 years old). One hundred and sixty (15.1%) cases had 0-1 points, 278 (26.3%) 2 points, 260 (24.6%) 3 points, 209 (19.7%) 4 points, and 152 (14.3%) 5-6 points of ISAR scale. Ninety five (9.0%) patients died within 30 days. The percentage of mortality increased in relation to ISAR category (lineal trend P value <.001). The area under curve of ISAR scale was 0.703 (95%CI 0.655-0.751; P<.001). After adjusting for EFFECT risk categories, we observed a progressive increase in odds ratios of ISAR scale groups compared to reference (0-1 points). CONCLUSIONS: scale is a brief and easy tool that should be considered for frailty screening during initial assessment of older patients attended with AHF for predicting 30-day mortality. spa
dc.description.sponsorship SIN FINANCIACIÓN spa
dc.language.iso eng spa
dc.title Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure spa
dc.title.alternative La escala Identification of Senior At Risk predice la mortalidad a los 30 días en los pacientes mayores con insuficiencia cardiaca aguda spa
dc.type article spa
dc.description.impact 1.755 JCR (2017) Q4, 28/33 Critical Care Medicine spa
dc.identifier.doi 10.1016/j.medin.2018.07.009
dc.rights.accessRights closedAccess spa
dc.subject.uem Ancianos spa
dc.subject.uem Mortalidad spa
dc.subject.uem Insuficiencia cardiaca spa
dc.subject.unesco Anciano spa
dc.subject.unesco Mortalidad spa
dc.subject.unesco Enfermedad cardiovascular spa
dc.description.filiation UEC spa
dc.peerreviewed Si spa


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