IRIS – Institutional Research Information System
IRIS è il sistema di gestione della ricerca dell’Università degli Studi di Milano-Bicocca.Il repository BOA è il modulo del sistema dedicato alla raccolta e alla disseminazione della produzione scientifica di Ateneo. Le pubblicazioni sono ricercabili per parola chiave attraverso il box nella barra orizzontale in alto oppure, mediante il pulsante Sfoglia, per "Afferenza", "Autore", "Titolo", "Tipologia" o "Settore scientifico-disciplinare".
IRIS contiene inoltre alcuni moduli dedicati alla registrazione dei progetti e dei contratti, e alla reportistica avanzata per le attività di valutazione della ricerca
EnglishAcute heart failure (AHF) is a major public health issue due to high incidence and poor prognosis. Only a few studies are available on the long-term prognosis and on outcome predictors in the unselected population attending the emergency department (ED) for AHF. We carried out a 1-year follow-up analysis of 1234 consecutive patients from selected Italian EDs from January 2011 to June 2012 for an episode of AHF. Their prognosis and outcome-associated factors were tested by Cox proportional hazard model. Patients’ mean age was 84, with 66.0 % over 80 years and 56.2 % females. Comorbidities were present in over 50 % of cases, principally a history of acute coronary syndrome, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, valvular heart disease. Death occurred within 6 h in 24 cases (1.9 %). At 30-day follow-up, death was registered in 123 cases (10.0 %): 110 cases (89.4 %) died of cardiovascular events and 13 (10.6 %) of non-cardiovascular causes (cancer, gastrointestinal hemorrhages, sepsis, trauma). At 1-year follow-up, all-cause death was recorded in 50.1 % (over 3 out of 4 cases for cardiovascular origin). Six variables (older age, diabetes, systolic arterial pressure <110 mm/Hg, high NT pro-BNP, high troponin levels and impaired cognitive status) were selected as outcome predictors, but with limited discriminant capacity (AUC = 0.649; SE 0.015). Recurrence of AHF was registered in 31.0 %. The study identifies a cluster of variables associated with 1-year mortality in AHF, but their predictive capacity is low. Old age and the presence of comorbidities, in particular diabetes are likely to play a major role in dictating the prognosis.
Fabbri, A., Marchesini, G., Carbone, G., Cosentini, R., Ferrari, A., Chiesa, M., et al. (2016). Acute heart failure in the emergency department: a follow-up study. INTERNAL AND EMERGENCY MEDICINE, 11(1), 115-122 [10.1007/s11739-015-1336-z].
| Citazione: | Fabbri, A., Marchesini, G., Carbone, G., Cosentini, R., Ferrari, A., Chiesa, M., et al. (2016). Acute heart failure in the emergency department: a follow-up study. INTERNAL AND EMERGENCY MEDICINE, 11(1), 115-122 [10.1007/s11739-015-1336-z]. | |
| Tipo: | Articolo in rivista - Articolo scientifico | |
| Carattere della pubblicazione: | Scientifica | |
| Presenza di un coautore afferente ad Istituzioni straniere: | No | |
| Titolo: | Acute heart failure in the emergency department: a follow-up study | |
| Autori: | Fabbri, A; Marchesini, G; Carbone, G; Cosentini, R; Ferrari, A; Chiesa, M; Bertini, A; Rea, F | |
| Autori: | REA, FEDERICO (Ultimo) | |
| Data di pubblicazione: | 2016 | |
| Lingua: | English | |
| Rivista: | INTERNAL AND EMERGENCY MEDICINE | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1007/s11739-015-1336-z | |
| Appare nelle tipologie: | 01 - Articolo su rivista |
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