TY - JOUR 
A1 - Martín Sánchez, Francisco Javier
AU - Llopis García, G.
AU - González-Colaço Harmand, Magali
AU - Fernández Pérez, Cristina
AU - González del Castillo, Juan
AU - Llorens, Pere
AU - Herrero Puente, Pablo
AU - Jacob, Javier
AU - Gil, Víctor
AU - Domínguez Rodríguez, Alberto 
T1 - Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure

Y1 - 2020
SN - 0210-5691

UR - http://hdl.handle.net/11268/7531
AB - 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.
KW - Ancianos
KW - Mortalidad
KW - Insuficiencia cardiaca
KW - Anciano
KW - Mortalidad
KW - Enfermedad cardiovascular
LA - eng
ER -