Impact of Frailty and Disability on 30-Day Mortality in Older Patients With Acute Heart Failure

The objectives were to determine the impact of frailty and disability on 30-day mortality and whether the addition of these variables to HFRSS EFFECT risk score (FBI-EFFECT model) improves the short-term mortality predictive capacity of both HFRSS EFFECT and BI-EFFECT models in older patients with a...

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Published in:The American journal of cardiology 2017-10, Vol.120 (7), p.1151-1157
Main Authors: Martín-Sánchez, Francisco Javier, Rodríguez-Adrada, Esther, Vidan, Maria Teresa, Llopis García, Guillermo, González del Castillo, Juan, Rizzi, Miguel Alberto, Alquezar, Aitor, Piñera, Pascual, Lázaro Aragues, Paula, Llorens, Pere, Herrero, Pablo, Jacob, Javier, Gil, Víctor, Fernández, Cristina, Bueno, Héctor, Miró, Òscar, Pérez-Durá, María José, Gil, Pablo Berrocal, Miró, Óscar, Espinosa, Víctor Gil, Sánchez, Carolina, Aguiló, Sira, Vall, Maria Àngels Pedragosa, Aguirre, Alfons, Aragues, Paula Lázaro, Bordigoni, Miguel Alberto Rizzi, Richard, Fernando, Ferrer, Carles, Llopis, Ferrán, Sánchez, F. Javier Martín, del Castillo, Juan González, García, Guillermo Llopis, Salgado, Lucía, Mandly, Eduardo Anguita, Ortega, Julián Sanz, de los Ángeles Cuadrado Cenzual, María, de Heredia, Maria Dolores Inés Ortega, Soriano, Pere Llorens, Fernández-Cañadas, José María, Carratalá, José Manuel, Javaloyes, Patricia, Puente, Pablo Herrero, García, Iván Rancaño, Coya, María Fernández, Fernández, José Antonio Sevillano, Andueza, Juan, Pareja, Rodofo Romero, del Arco, Carmen, Martín, Alfonso, Torres, Raquel, Miranda, Belén Rodríguez, Martín, Vanesa Sendín, Guillén, Carlos Bibiano, Puig, Rodrigo Pacheco
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Aged, 80 and over
Caregivers
Chronic illnesses
Comorbidity
Disability
Disability Evaluation
Disabled Persons - statistics & numerical data
Emergency medical services
Family medical history
Female
Females
Follow-Up Studies
Frail Elderly - statistics & numerical data
Frailty
Heart diseases
Heart failure
Heart Failure - mortality
Heart Failure - rehabilitation
Humans
Male
Mathematical models
Medical prognosis
Mortality
Oak
Older people
Patients
Prognosis
Reclassification
Registries
Retrospective Studies
Risk
Risk Assessment
Risk Factors
Spain - epidemiology
Statistical analysis
Time Factors
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Summary:The objectives were to determine the impact of frailty and disability on 30-day mortality and whether the addition of these variables to HFRSS EFFECT risk score (FBI-EFFECT model) improves the short-term mortality predictive capacity of both HFRSS EFFECT and BI-EFFECT models in older patients with acute decompensated heart failure (ADHF) atended in the emergency department. We performed a retrospective analysis of OAK Registry including all consecutive patients ≥65 years old with ADHF attended in 3 Spanish emergency departments over 4 months. FBI-EFFECT model was developed by adjusting probabilities of HFRSS EFFECT risk categories according to the 6 groups (G1: non frail, no or mildly dependent; G2: frail, no or mildly dependent; G3: non frail, moderately dependent; G4: frail, moderately dependent; G5: severely dependent; G6: very severely dependent).We included 596 patients (mean age: 83 [SD7]; 61.2% females). The 30-day mortality was 11.6% with statistically significant differences in the 6 groups (p 
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2017.06.059