Mortality prediction using CHADS2/CHA2DS2-VASc/R2CHADS2 scores in systolic heart failure patients with or without atrial fibrillation
Autor: | Kou Gi Shyu, Shyh Ming Chen, Jin Long Huang, Wei Hsian Yin, Heng Chia Chang, Ching Lan Cheng, Ning I. Yang, Chun-Chieh Wang, Shih Hsien Sung, Kuan-Cheng Chang, Jiunn Lee Lin, Yung Lung Chen |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty MEDLINE Taiwan Observational Study 030204 cardiovascular system & hematology risk score Risk Assessment 03 medical and health sciences 0302 clinical medicine Text mining Predictive Value of Tests Risk Factors Internal medicine Atrial Fibrillation medicine Humans 030212 general & internal medicine Prospective Studies Registries Prospective cohort study Stroke Aged Framingham Risk Score business.industry systolic heart failure Atrial fibrillation General Medicine Middle Aged medicine.disease mortality Hospitalization Research Design Predictive value of tests Heart failure Cardiology ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female business Heart Failure Systolic Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 |
Popis: | Supplemental Digital Content is available in the text The CHADS2, CHA2DS2-VASc, and R2CHADS2 scores are well-known predictors of stroke caused by atrial fibrillation (AF), but no studies have evaluated their use for stratifying all-cause mortality risk in patients discharged for systolic heart failure (SHF) with or without AF. This study analyzed data in the Taiwan Society of Cardiology—heart failure with reduced ejection fraction (TSOC-HFrEF) registry. These data were obtained by a prospective, multicenter, observational survey of patients treated at 21 medical centers in Taiwan after hospitalization for acute, pre-existing or new onset SHF from May, 2013 to October, 2014. During 1 year follow-up, 198 patients were lost follow-up, and final 1311 (86.8%) patients were included for further analysis. During the follow-up period, 250 (19%) patients died. Multivariate analysis revealed that body mass index, thyroid disorder, valvular surgery history, chronic kidney disease (CKD), and scores for CHADS2, CHA2DS2-VASc, and R2CHADS2 were significant independent predictors of mortality in the overall population of SHF patients (all P |
Databáze: | OpenAIRE |
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