Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2013;66:539-44 - Vol. 66 Num.07 DOI: 10.1016/j.rec.2013.03.009

Survival in Mediterranean Ambulatory Patients With Chronic Heart Failure. A Population-based Study

Eva Frigola-Capell a,b,c,d,, Josep Comin-Colet e,f,g, Josep Davins-Miralles h,i, Ignasi J. Gich-Saladich j, Michel Wensing a, Jose M. Verdú-Rotellar k

a Radboud University Nijmegen, Medical Centre, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands
b Instituto Universitario Avedis Donabedian, Universitat Autònoma de Barcelona, Barcelona, Spain
c Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain
d Translab Research Group, Department de Ciències Mèdiques, Universitat de Girona, Girona, Spain
e Departamento de Cardiología, Hospital del Mar, Barcelona, Spain
f Facultad de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
g Institut Municipal d’ Investigació Mèdica, Barcelona, Spain
h Subdirecció General de Serveis Sanitaris, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain
i Escuela Andaluza de Salud Pública, Granada, Spain
j Servicio de Epidemiología Clínica y Salud Pública, IIB Sant Pau, CIBERESP, Universitat Autònoma de Barcelona, Barcelona, Spain
k Institut Català de la Salut, Barcelona, Spain

Refers to

Should Heart Failure Patients Move to Catalonia?
Wayne C. Levy
Rev Esp Cardiol. 2013;66:526-8
Full text - PDF

Keywords

Heart failure. Prognosis. Survival. Epidemiology. Population.

Abstract

Introduction and objectives

Scarce research has been performed in ambulatory patients with chronic heart failure in the Mediterranean area. Our aim was to describe survival trends in our target population and the impact of prognostic factors.

Methods

We carried out a population-based retrospective cohort study in Catalonia (north-east Spain) of 5659 ambulatory patients (60% women; mean age 77 [10] years) with incident chronic heart failure. Eligible patients were selected from the electronic patient records of primary care practices from 2005 and were followed-up until 2007.

Results

During the follow-up period deaths occurred in 950 patients (16.8%). Survival after the onset of chronic heart failure at 1, 2, and 3 years was 90%, 80%, 69%, respectively. No significant differences in survival were found between men and women (P=.13). Cox proportional hazard modelling confirmed an increased risk of death with older age (hazard ratio=1.06; 95% confidence interval, 1.06-1.07), diabetes mellitus (hazard ratio=1.53; 95% confidence interval, 1.33-1.76), chronic kidney disease (hazard ratio=1.73; 95% confidence interval, 1.45-2.05), and ischemic heart disease (hazard ratio=1.18; 95% confidence interval, 1.02-1.36). Hypertension (hazard ratio=0.73; 95% confidence interval, 0.64-0.84) had a protective effect.

Conclusions

Service planning and prevention programs should take into consideration the relatively high survival rates found in our area and the effect of prognostic factors that can help to identify high risk patients.

1885-5857/© 2013 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

Cookies
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.
Cookies policy
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.