Details

Autor(en) / Beteiligte

• Martín-Sánchez, F J
• Llopis García, G
• González-Colaço Harmand, M
• Fernandez Pérez, C
• González Del Castillo, J
• Llorens, P
• Herrero, P
• Jacob, J
• Gil, V
• Domínguez-Rodriguez, A
• Rossello, X
• Miró, O

Titel

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

Ist Teil von

• Medicina intensiva, 2020-01, Vol.44 (1), p.9

Ort / Verlag

Spain

Erscheinungsjahr

2020

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.