Clinical factors useful to identify heart failure patients with high risk of death

CHICAGO - Factors identifiable at the time of hospitalization can predict the risk of death for heart failure patients, according to an article in the November 19 issue of The Journal of the American Medical Association (JAMA).

Heart failure is a condition with a poor prognosis: 1-year death rates in population-based studies have been reported to be 35 percent to 40 percent, according to background information in the article. Although heart failure is a common, serious condition treated by both generalist and specialist physicians, few methods exist to help quantatitively estimate patient prognosis. Knowledge of predictors of death could be used to generate predictive models that could aid clinicians' decision making, in particular by identifying patients who are at high or low risk of death, and could be useful for clinicians to improve communication with and care of hospitalized patients.

Douglas S. Lee, M.D., of the University of Toronto, Ontario, and colleagues conducted a study to develop a method to predict the risk of death at both 30 days and 1 year in heart failure patients based on information routinely available to clinicians at the time of admission to the hospital, such as demographic features, vital signs, and other patient conditions. The study included 4,031 patients presenting with heart failure at multiple hospitals in Ontario, Canada, who had been identified as part of the Enhanced Feedback for Effective Cardiac Treatment (EFFECT) study.

The researchers found that predictors of death at both 30 days and 1 year included older age, lower systolic blood pressure, higher respiratory rate, higher blood urea nitrogen levels, and hyponatremia (low sodium level in the blood). Other conditions associated with death included presence of cerebrovascular disease (43 percent increased risk of death at 30-days), chronic obstructive pulmonary disease (66 percent increased risk of death), hepatic cirrhosis (more that three times inc

Contact: Julie Argles
416-480-4055 x3602
JAMA and Archives Journals

Page: 1 2

Related medicine news :

1. Clinical breast examination offers modest benefit to breast cancer screening program
2. Clinical trial of Etanercept for Wegeners disease shows no benefit
3. Clinical trial participants fare no better, no worse than other patients
4. Clinical trial shows drug may offer a new option to prevent rejection of transplanted kidneys
5. National Academies news: Clinical research involving children
6. Clinical research key in advance to prospective health care
7. Clinical trial of new TB vaccine begins
8. Clinical trial of Alzheimers disease drug shows clear reductions in AD development
9. Panel: Clinical use of embryonic stem cells jeopardized by Bushs policy on federal funding
10. $7 million grant continues Asthma Clinical Research Network efforts
11. Clinical study of Penn State Hershey technology begins in South Africa

Post Your Comments:

(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: