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[Prognostic value of discharge hemoglobin level in patients hospitalized for acute heart failure].
Rev Esp Cardiol. 2006 Dec; 59(12):1276-82.RE

Abstract

INTRODUCTION AND OBJECTIVES

Recent studies show that the prevalence of anemia in patients with heart failure is high and indicate that its presence leads to increased mortality and morbidity. Our aims were to determine the prevalence of anemia in patients hospitalized for heart failure and to study the long-term prognostic significance of anemia by evaluating its relationship with mortality (total and due to heart failure) and readmission for heart failure.

METHODS

The study included 242 consecutive patients admitted to our cardiology department and discharged with a diagnosis of congestive heart failure. The Kaplan-Meier technique and Cox regression modeling were used to determine whether anemia is an independent predictor of death or readmission for heart failure. Anemia was defined as a hemoglobin level <12 g/dL. The mean follow-up period was 23.5 (10.9) months.

RESULTS

Overall, 79 patients (32.6%) were anemic. During follow-up, 77 died (53 due to heart disease) and 117 were readmitted for heart failure. Multivariate analysis showed that anemia was an independent predictor of death (hazard ratio [HR]=1.85, 95% confidence interval [CI], 1.12-3.06), death due to heart disease (HR=1.88, 95% CI, 1.03-3.45), and readmission for heart failure (HR=1.87, 95% CI, 1.28-2.74).

CONCLUSIONS

The prevalence of anemia was high in patients hospitalized for heart failure. Moreover, a discharge hemoglobin level less than 12 g/dL was a predictor of all-cause death, cardiac death, and readmission for heart failure.

Authors+Show Affiliations

Servicio de Cardiología, Consorcio Hospital General Universitario, Valencia, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

17194423

Citation

Sánchez-Torrijos, Jorge, et al. "[Prognostic Value of Discharge Hemoglobin Level in Patients Hospitalized for Acute Heart Failure]." Revista Espanola De Cardiologia, vol. 59, no. 12, 2006, pp. 1276-82.
Sánchez-Torrijos J, Gudín-Uriel M, Nadal-Barangé M, et al. [Prognostic value of discharge hemoglobin level in patients hospitalized for acute heart failure]. Rev Esp Cardiol. 2006;59(12):1276-82.
Sánchez-Torrijos, J., Gudín-Uriel, M., Nadal-Barangé, M., Jacas-Osborn, V., Trigo-Bautista, A., Giménez-Alcalá, M., Payá-Serrano, R., & Ridocci-Soriano, F. (2006). [Prognostic value of discharge hemoglobin level in patients hospitalized for acute heart failure]. Revista Espanola De Cardiologia, 59(12), 1276-82.
Sánchez-Torrijos J, et al. [Prognostic Value of Discharge Hemoglobin Level in Patients Hospitalized for Acute Heart Failure]. Rev Esp Cardiol. 2006;59(12):1276-82. PubMed PMID: 17194423.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prognostic value of discharge hemoglobin level in patients hospitalized for acute heart failure]. AU - Sánchez-Torrijos,Jorge, AU - Gudín-Uriel,Margarita, AU - Nadal-Barangé,Mercedes, AU - Jacas-Osborn,Victoria, AU - Trigo-Bautista,Alberto, AU - Giménez-Alcalá,Mónica, AU - Payá-Serrano,Rafael, AU - Ridocci-Soriano,Francisco, PY - 2006/12/30/pubmed PY - 2007/3/21/medline PY - 2006/12/30/entrez SP - 1276 EP - 82 JF - Revista espanola de cardiologia JO - Rev Esp Cardiol VL - 59 IS - 12 N2 - INTRODUCTION AND OBJECTIVES: Recent studies show that the prevalence of anemia in patients with heart failure is high and indicate that its presence leads to increased mortality and morbidity. Our aims were to determine the prevalence of anemia in patients hospitalized for heart failure and to study the long-term prognostic significance of anemia by evaluating its relationship with mortality (total and due to heart failure) and readmission for heart failure. METHODS: The study included 242 consecutive patients admitted to our cardiology department and discharged with a diagnosis of congestive heart failure. The Kaplan-Meier technique and Cox regression modeling were used to determine whether anemia is an independent predictor of death or readmission for heart failure. Anemia was defined as a hemoglobin level <12 g/dL. The mean follow-up period was 23.5 (10.9) months. RESULTS: Overall, 79 patients (32.6%) were anemic. During follow-up, 77 died (53 due to heart disease) and 117 were readmitted for heart failure. Multivariate analysis showed that anemia was an independent predictor of death (hazard ratio [HR]=1.85, 95% confidence interval [CI], 1.12-3.06), death due to heart disease (HR=1.88, 95% CI, 1.03-3.45), and readmission for heart failure (HR=1.87, 95% CI, 1.28-2.74). CONCLUSIONS: The prevalence of anemia was high in patients hospitalized for heart failure. Moreover, a discharge hemoglobin level less than 12 g/dL was a predictor of all-cause death, cardiac death, and readmission for heart failure. SN - 1579-2242 UR - https://www.unboundmedicine.com/medline/citation/17194423/[Prognostic_value_of_discharge_hemoglobin_level_in_patients_hospitalized_for_acute_heart_failure]_ L2 - http://www.revespcardiol.org/en/linksolver/ft/ivp/1579-2242/59/1276 DB - PRIME DP - Unbound Medicine ER -