The negative prognostic synergism of anemia and heart disease in female nursing home residents
| Autor: | Riccardo Sandri, Renata De Maria, Maurizio Ferratini, Vittorino Ripamonti, Aldo Pisani Ceretti |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Heart disease Heart Diseases Anemia chemistry.chemical_compound Predictive Value of Tests Internal medicine Cause of Death Medicine Humans Renal Insufficiency Aged 80 and over Creatinine business.industry Hazard ratio Age Factors medicine.disease Prognosis Survival Analysis Confidence interval Surgery Nursing Homes Survival Rate chemistry Circulatory system Hypertension Multivariate Analysis Cardiology Female Hemoglobin Cardiology and Cardiovascular Medicine Nursing homes business Follow-Up Studies |
| Zdroj: | The American journal of cardiology. 96(10) |
| ISSN: | 0002-9149 |
| Popis: | This study assessed functional and cognitive status, hemoglobin, serum creatinine, and heart disease from chart reviews in 441 female nursing home residents (mean age 86.8 +/- 7.5 years) and correlated the findings with 1-year survival. Independent predictors of outcome were older age (hazard ratio [HR] 1.76, 95% confidence interval [CI] 1.13 to 2.73), Barthel index (HR 0.31, 95% CI 0.15 to 0.62), and the combined presence of anemia (hemoglobinor =11 g/dl) and heart disease (HR 3.50, 95% CI 1.50 to 7.47). Survival rates were 92% in the reference group with neither anemia nor heart disease, 91% in anemic subjects without heart disease, 87% in nonanemic patients with heart disease, and 72% in women with the 2 conditions (p0.001). Anemia is highly prevalent in this population and when present in subjects with heart disease determines a threefold increase in mortality risk. |
| Databáze: | OpenAIRE |
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