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

Medicina intensiva
Francisco Javier Martín-SánchezResto de investigadores del registro OAK

Abstract

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). Observational multicenter cohort study. OAK-3 register. Patients aged ≥65 years attended with ADHF in 16 Spanish EDs from January to February 2016. No. Variable of study was ISAR scale. The outcome was all-cause 30-day mortality. 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). 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.

Citations

Nov 17, 2020·European Heart Journal. Acute Cardiovascular Care·Òscar MiróUNKNOWN Study Group on Acute Heart Failure of the Acute Cardiovascular Care Association of the European Society of Cardiology
Jul 9, 2020·Cardiology in Review·Gaia AnselmiLeonarda Galiuto

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