1. Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure
- Author
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F.J. Martín-Sánchez, G. Llopis García, M. González-Colaço Harmand, C. Fernandez Pérez, J. González del Castillo, P. Llorens, P. Herrero, J. Jacob, V. Gil, A. Domínguez-Rodriguez, X. Rossello, O. Miró, Esther Rodríguez Adrada, María Carmen Santos, Lucía Salgado, Berenice Nayla Brizzi, María Luisa Docavo, María Suárez Cadenas, Carolina Xipell, Carolina Sánchez, Sira Aguiló, Josep María Gaytan, Alba Jerez, María José Pérez-Durá, Pablo Berrocal Gil, María Luisa López-Grima, Amparo Valero, Alfons Aguirre, Maria Àngels Pedragosa, Pascual Piñera, Paula Lázaro Aragues, José Andrés Sánchez Nicolás, Miguel Alberto Rizzi, Sergio Herrera Mateo, Aitor Alquezar, Alex Roset, Carles Ferrer, Ferrán Llopis, José María Álvarez Pérez, María Pilar López Diez, Fernando Richard, José María Fernández-Cañadas, José Manuel Carratalá, Patricia Javaloyes, Juan Antonio Andueza, José Antonio Sevillano Fernández, Rodolfo Romero, Marta Merlo Loranc, Virginia Álvarez Rodríguez, María Teresa Lorca, Luis Calderón, Ester Soy Ferrer, José Manuel Garrido, and Enrique Martín Mojarro
- Subjects
Pediatrics ,medicine.medical_specialty ,Frailty ,business.industry ,Emergency department ,030208 emergency & critical care medicine ,Mean age ,medicine.disease ,Identification of senior at risk ,03 medical and health sciences ,Older ,0302 clinical medicine ,030228 respiratory system ,Older patients ,30 day mortality ,Heart failure ,Scale (social sciences) ,medicine ,Observational study ,Mortality ,business ,Cohort study - 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%Cl 0.655-0.751; P
- Published
- 2020