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dc.contributor.authorArrigo, Mattia
dc.contributor.authorTolppanen, Heli
dc.contributor.authorSadoune, Malha
dc.contributor.authorFeliot, Elodie
dc.contributor.authorTeixeira, Antonio
dc.contributor.authorLaribi, Said
dc.contributor.authorPlaisance, Patrick
dc.contributor.authorNouira, Semir
dc.contributor.authorYilmaz, Mehmet Birhan
dc.contributor.authorGayat, Etienne
dc.contributor.authorMebazaa, Alexandre
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T09:45:25Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T09:45:25Z
dc.date.issued2016
dc.identifier.issn2055-5822
dc.identifier.urihttps://dx.doi.org/10.1002/ehf2.12083
dc.identifier.urihttps://hdl.handle.net/20.500.12418/7328
dc.descriptionWOS: 000374984300007en_US
dc.descriptionPubMed ID: 27812386en_US
dc.description.abstractAimsAcute heart failure (AHF) is one of the leading causes of unscheduled hospitalization and is associated with frequent readmissions and substantial mortality. Precipitating factors of AHF influence short-term mortality, but their effect on outcome after hospital discharge is unknown. The present study assessed the effect of precipitating factors on readmission and long-term survival in the overall population and in patients aged 75years or younger. Methods and resultsPatients admitted with AHF (n=755) included in the multicentre cohort Biomarcoeurs' were included in the study. Precipitating factors of AHF were classified in four main groups: acute coronary syndrome, atrial fibrillation, acute pulmonary disease and other causes. Hospital readmission during 90days after discharge and survival at 1year were analysed. Precipitating factors influenced readmissions and survival. Acute pulmonary disease was associated with fewer readmissions (HR 0.61, 95% confidence interval (CI) 0.37-0.99, P=0.049), especially in patients aged 75years or younger (HR 0.20, 95% CI 0.06-0.63, P=0.006), whereas atrial fibrillation (HR 2.23, 95% CI 1.29-3.85, P=0.004) and acute coronary syndrome (HR 2.23, 95% CI 1.02-4.86, P=0.044) were associated with more readmissions. Patients with acute pulmonary disease at admission showed higher mortality (HR 1.59, 95% CI 1.04-2.43, P=0.034), especially in subjects aged 75years or younger (HR 2.52, 95% CI 1.17-5.41, P=0.018). ConclusionsPrecipitating factors of AHF substantially influenced outcome after hospitalization. In particular, patients with AHF precipitated by acute pulmonary disease showed fewer readmissions and higher 1year mortality, especially in patients aged 75years or younger.en_US
dc.language.isoengen_US
dc.publisherWILEY PERIODICALS, INCen_US
dc.relation.isversionof10.1002/ehf2.12083en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute heart failureen_US
dc.subjectPrecipitating factoren_US
dc.subjectPulmonary diseaseen_US
dc.subjectReadmissionen_US
dc.subjectMortalityen_US
dc.titleEffect of precipitating factors of acute heart failure on readmission and long-term mortalityen_US
dc.typearticleen_US
dc.relation.journalESC HEART FAILUREen_US
dc.contributor.department[Arrigo, Mattia -- Tolppanen, Heli -- Sadoune, Malha -- Feliot, Elodie -- Teixeira, Antonio -- Laribi, Said -- Gayat, Etienne -- Mebazaa, Alexandre] INSERM, UMR S 942, Paris, France -- [Teixeira, Antonio -- Laribi, Said -- Plaisance, Patrick -- Gayat, Etienne -- Mebazaa, Alexandre] Univ Paris Diderot, PRES Sorbonne Paris Cite, Paris, France -- [Teixeira, Antonio] St Louis Lariboisiere Univ Hosp, AP HP, Dept Geriatr, F-75475 Paris 10, France -- [Laribi, Said -- Plaisance, Patrick] St Louis Lariboisiere Univ Hosp, AP HP, Dept Emergency Med, F-75475 Paris 10, France -- [Nouira, Semir] Fattouma Bourguiba Univ Hosp, Emergency Dept, Monastir, Tunisia -- [Yilmaz, Mehmet Birhan] Cumhuriyet Univ Hosp, Sivas, Turkey -- [Gayat, Etienne -- Mebazaa, Alexandre] St Louis Lariboisiere Univ Hosp, AP HP, Dept Anesthesiol & Crit Care Med, F-75475 Paris 10, Franceen_US
dc.contributor.authorIDYILMAZ, Mehmet Birhan -- 0000-0002-8169-8628; YILMAZ, MEHMET BIRHAN -- 0000-0002-8169-8628; Arrigo, Mattia -- 0000-0003-4028-2869; GAYAT, Etienne -- 0000-0002-3334-3849; Mebazaa, Alexandre -- 0000-0001-8715-7753en_US
dc.identifier.volume3en_US
dc.identifier.issue2en_US
dc.identifier.endpage121en_US
dc.identifier.startpage115en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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