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Resumen Durante el ultimo ano se han publicado numerosos trabajos centrados en el paciente mayor con enfermedad cardiovascular. En este texto repasamos algunos de estos trabajos, relacionados todos con el abordaje del paciente mayor en distintos escenarios clinicos. Hemos querido resaltar y prestar especial atencion a aspectos de gran relevancia clinica, dado su impacto pronostico, como la fragilidad, la comorbilidad o la polifarmacia, y centrarnos en como mejorar la atencion que proporcionamos a nuestros pacientes en distintos ambitos (urgencias, hospitalizacion, ambulatorio) y procesos concretos como la fibrilacion auricular, la insuficiencia cardiaca, las valvulopatias y los sindromes coronarios agudos.

Background/aim Estimation of mortality in elderly patients is difficult yet very important when planning care. Previous tools are complicated or do no take into account some major determinants of mortality (i.e., frailty). We designed a simple, accurate, and non–disease–specific tool to predict individual mortality risk after hospital discharge in older adults. Methods Patients admitted to the Acute Geriatric Unit were assessed at adission and at discharge and contacted 6 and 12 months later. Determinants of mortality were obtained. Using multivariable analysis, beta coeffcicients were calculated to build 2 scores able to predict mortality at 6 and 12 months after discharge. The scores were tested on a sample comprising 75% of the patients, who were randomly selected; they were validated using the remaining 25%. Discrimination was assessed using ROC curves. Scores were calculated for each patient and divided into tertiles. Survival analysis was performed. Results Determinants of mortality at 6 months were dependent ambulation at baseline, full dependence at discharge, length of stay, pluripatology, pressure ulcers, low grip strength, malignacy, and male gender. At 12 months the determinants were: dependent amblation at baseline, full dependence at discharge, pluripatology, low BMI, low grip strength, heart failure, malignacy, and male gender. Discrimination and calibration were excellent. Survival analysis demonstrated different survival trajectories (p Conclusions Our incices provide accurate prognostic information in elderly patients after discharge. They can be calculated easily, quickly and do not require technical or laboratory support, thus endorsing their value in dalily clinical practice.