Prognostic effect of systematic geriatric assessment on patients with acute heart failure

• Published in: ESC Heart Failure 2024-04, Vol.11 (2), p.1194-1204
• Main Authors: Aguilar‐Iglesias, Lara, Merino‐Merino, Ana, Sanchez‐Corral, Ester, Garcia‐Sanchez, Maria‐Jesus, Santos‐Sanchez, Isabel, Dominguez‐Calvo, Jesus, Saez‐Maleta, Ruth, Perez‐Rivera, Jose‐Angel
• Format: Article
• Language: English
• Subjects: Age; Cardiology; Dependence; Ejection fraction; Emergency medical care; Frailty; Geriatric; Geriatrics; Heart failure; Life expectancy; Medical prognosis; Mortality; Original; Patients; Prognosis; Quality of life; Questionnaires; Statistical analysis; Survival analysis
• ISSN: 2055-5822; 2055-5822
• DOI: 10.1002/ehf2.14692

Aims Frailty and dependence are frequent in patients admitted for acute heart failure (AHF), but their prognostic significance is unknown, especially in young adults. We aimed to study in adults admitted for AHF, regardless of age, the effect of frailty and dependence on the incidence of mortality and a combined event of mortality, readmissions for AHF, and visits to the emergency room (ER) for AHF at 1 and 6 months. Methods and results We designed a prospective cohort study by including all the patients with AHF admitted in our Cardiology Department from July 2020 through May 2021. A multidimensional geriatric assessment was performed during the admission. We clinically followed up the patients 6 months after discharge. We enrolled 202 patients. The mean age was 73 ± 12.32 years, and 100 (49.5%) of the patients were elderly (>75 years). Just 78 patients (38.6%) were women, and 100 (49.5%) had previous HF. Frailty (FRAIL ≥ 3) was observed in 68 (33.7%) patients (mean FRAIL score: 1.88 ± 1.48). Dependence (Barthel