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

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dc.contributor.authorMartín Sánchez, Francisco Javier
dc.contributor.authorLlopis García, G.
dc.contributor.authorGonzález-Colaço Harmand, Magali
dc.contributor.authorFernández Pérez, Cristina
dc.contributor.authorGonzález del Castillo, Juan
dc.contributor.authorLlorens, Pere
dc.contributor.authorHerrero Puente, Pablo
dc.contributor.authorJacob, Javier
dc.contributor.authorGil, Víctor
dc.contributor.authorDomínguez Rodríguez, Alberto
dc.date.accessioned2018-10-30T10:06:37Z
dc.date.available2018-10-30T10:06:37Z
dc.date.issued2020
dc.description.abstractOBJECTIVE: 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.filiationUECspa
dc.description.impact2.491 JCR (2020) Q3, 26/36 Critical Care Medicinespa
dc.description.impact0.336 SJR (2020) Q3, 46/88 Critical Care and Intensive Care Medicinespa
dc.description.impactNo data IDR 2020spa
dc.description.sponsorshipSin financiaciónspa
dc.identifier.citationMartín-Sánchez, F. J., Llopis García, G., González-Colaço Harmand, M., Fernández Pérez, C., González Del Castillo, J., Llorens, P., Herrero, P., Jacob, J., Gil, V., Domínguez-Rodríguez, A., Rosselló, X., Miró, O., en representación de los investigadores del Registro OAK, & Resto de investigadores del registro OAK (2020). Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure. La escala Identification of Senior at Risk predice la mortalidad a los 30 días en los pacientes mayores con insuficiencia cardiaca aguda. Medicina intensiva, 44(1), 9–17. https://doi.org/10.1016/j.medin.2018.07.009spa
dc.identifier.doi10.1016/j.medin.2018.07.009
dc.identifier.issn0210-5691
dc.identifier.issn1578-6749
dc.identifier.urihttp://hdl.handle.net/11268/7531
dc.language.isoengspa
dc.peerreviewedSispa
dc.rights.accessRightsrestricted accessspa
dc.subject.uemAncianosspa
dc.subject.uemMortalidadspa
dc.subject.uemInsuficiencia cardiacaspa
dc.subject.unescoAncianospa
dc.subject.unescoMortalidadspa
dc.subject.unescoEnfermedad cardiovascularspa
dc.titleIdentification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failurespa
dc.title.alternativeLa escala Identification of Senior At Risk predice la mortalidad a los 30 días en los pacientes mayores con insuficiencia cardiaca agudaspa
dc.typejournal articlespa
dspace.entity.typePublication
relation.isAuthorOfPublicationb3cbb9d3-4cb6-435b-9e69-533edf86c0a6
relation.isAuthorOfPublicationcba8d216-6942-4a42-99c1-e6eaeee1f934
relation.isAuthorOfPublication.latestForDiscoveryb3cbb9d3-4cb6-435b-9e69-533edf86c0a6

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