A History of Heart Failure Is an Independent Risk Factor for Death in Patients Admitted with Coronavirus 19 Disease
Autor: | Federico M. Giorgi, Ulrich P. Jorde, Francesco Castagna, Snehal R. Patel, Shivank Madan, Omar Saeed, Karim Diab, Christopher Leyton, Daniel B. Sims, Rachna Kataria, Paul Kim, Sasa Vukelic, Syed Zain Ali, Angelos Arfaras-Melainis |
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Přispěvatelé: | Castagna F., Kataria R., Madan S., Ali S.Z., Diab K., Leyton C., Arfaras-Melainis A., Kim P., Giorgi F.M., Vukelic S., Saeed O., Patel S.R., Sims D.B., Jorde U.P. |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment heart failure 030204 cardiovascular system & hematology Article Coronary artery disease 03 medical and health sciences 0302 clinical medicine cardiovascular disease Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Pharmacology (medical) 030212 general & internal medicine Renal replacement therapy General Pharmacology Toxicology and Pharmaceutics Risk factor Dialysis Survival analysis Ejection fraction business.industry COVID-19 medicine.disease corona virus 2019 risk factor RC666-701 Heart failure Cardiology epidemiology business Body mass index |
Zdroj: | Journal of Cardiovascular Development and Disease Journal of Cardiovascular Development and Disease, Vol 8, Iss 77, p 77 (2021) Volume 8 Issue 7 |
ISSN: | 2308-3425 |
Popis: | Aims: The association between cardiovascular diseases, such as coronary artery disease and hypertension, and worse outcomes in COVID-19 patients has been previously demonstrated. However, the effect of a prior diagnosis of heart failure (HF) with reduced or preserved left ventricular ejection fraction on COVID-19 outcomes has not yet been established. Methods and Results: We retrospectively studied all adult patients with COVID-19 admitted to our institution from March 1st to 2nd May 2020. Patients were grouped based on the presence or absence of HF. We used competing events survival models to examine the association between HF and death, need for intubation, or need for dialysis during hospitalization. Of 4043 patients admitted with COVID-19, 335 patients (8.3%) had a prior diagnosis of HF. Patients with HF were older, had lower body mass index, and a significantly higher burden of co-morbidities compared to patients without HF, yet the two groups presented to the hospital with similar clinical severity and similar markers of systemic inflammation. Patients with HF had a higher cumulative in-hospital mortality compared to patients without HF (49.0% vs. 27.2%, p < 0.001) that remained statistically significant (HR = 1.383, p = 0.001) after adjustment for age, body mass index, and comorbidities, as well as after propensity score matching (HR = 1.528, p = 0.001). Notably, no differences in mortality, need for mechanical ventilation, or renal replacement therapy were observed among HF patients with preserved or reduced ejection fraction. Conclusions: The presence of HF is a risk factor of death, substantially increasing in-hospital mortality in patients admitted with COVID-19. |
Databáze: | OpenAIRE |
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