Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study

8 p.

Autores:
Lopez-Jaramillo, Patricio
Dokainish, Hisham
Teo, Koon
Zhu, Jun
Roy, Ambuj
AlHabib, Khalid F.
ElSayed, Ahmed
Palileo Villaneuva, Lia
Karaye, Kamilu
Yusoff, Khalid
Orlandini, Andres
Sliwa, Karen
Mondo, Charles
Lanas, Fernando
Prabhakaran, Dorairaj
Badr, Amr
Elmaghawry, Mohamed
Damasceno, Albertino
Tibazarwa, Kemi
Belley Cote, Emilie
Balasubramanian, Kumar
Islam, Shofiqul
Yacoub, Magdi H.
Huffman, Mark D.
Harkness, Karen
Grinvalds, Alex
McKelvie, Robert
Bangdiwala, Shrikant I.
Yusuf, Salim
On behalf of the INTER-CHF Investigators.
Tipo de recurso:
Article of journal
Fecha de publicación:
2017
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/3203
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/3203
Palabra clave:
Global
Mortality
Heart failure
INTER-CHF
Rights
closedAccess
License
Derechos Reservados - Universidad de Santander, 2017
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dc.title.eng.fl_str_mv Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
title Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
spellingShingle Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
Global
Mortality
Heart failure
INTER-CHF
title_short Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
title_full Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
title_fullStr Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
title_full_unstemmed Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
title_sort Global mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study
dc.creator.fl_str_mv Lopez-Jaramillo, Patricio
Dokainish, Hisham
Teo, Koon
Zhu, Jun
Roy, Ambuj
AlHabib, Khalid F.
ElSayed, Ahmed
Palileo Villaneuva, Lia
Karaye, Kamilu
Yusoff, Khalid
Orlandini, Andres
Sliwa, Karen
Mondo, Charles
Lanas, Fernando
Prabhakaran, Dorairaj
Badr, Amr
Elmaghawry, Mohamed
Damasceno, Albertino
Tibazarwa, Kemi
Belley Cote, Emilie
Balasubramanian, Kumar
Islam, Shofiqul
Yacoub, Magdi H.
Huffman, Mark D.
Harkness, Karen
Grinvalds, Alex
McKelvie, Robert
Bangdiwala, Shrikant I.
Yusuf, Salim
On behalf of the INTER-CHF Investigators.
dc.contributor.author.spa.fl_str_mv Lopez-Jaramillo, Patricio
Dokainish, Hisham
Teo, Koon
Zhu, Jun
Roy, Ambuj
AlHabib, Khalid F.
ElSayed, Ahmed
Palileo Villaneuva, Lia
Karaye, Kamilu
Yusoff, Khalid
Orlandini, Andres
Sliwa, Karen
Mondo, Charles
Lanas, Fernando
Prabhakaran, Dorairaj
Badr, Amr
Elmaghawry, Mohamed
Damasceno, Albertino
Tibazarwa, Kemi
Belley Cote, Emilie
Balasubramanian, Kumar
Islam, Shofiqul
Yacoub, Magdi H.
Huffman, Mark D.
Harkness, Karen
Grinvalds, Alex
McKelvie, Robert
Bangdiwala, Shrikant I.
Yusuf, Salim
dc.contributor.author.eng.fl_str_mv On behalf of the INTER-CHF Investigators.
dc.subject.proposal.eng.fl_str_mv Global
Mortality
Heart failure
INTER-CHF
topic Global
Mortality
Heart failure
INTER-CHF
description 8 p.
publishDate 2017
dc.date.issued.spa.fl_str_mv 2017-07-01
dc.date.accessioned.spa.fl_str_mv 2019-06-25T17:08:31Z
dc.date.available.spa.fl_str_mv 2019-06-25T17:08:31Z
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dc.identifier.doi.spa.fl_str_mv 10.1016/S2214-109X(17)30196-1
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dc.language.iso.spa.fl_str_mv eng
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dc.relation.ispartof.eng.fl_str_mv The Lancet Global Health
dc.rights.spa.fl_str_mv Derechos Reservados - Universidad de Santander, 2017
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rights_invalid_str_mv Derechos Reservados - Universidad de Santander, 2017
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Here, in the International Congestive Heart Failure (INTERCHF) study, we aimed to measure mortality at 1 year in patients with heart failure in Africa, China, India, the Middle East, southeast Asia and South America; we also explored demographic, clinical, and socioeconomic variables associated with mortality. Methods We enrolled consecutive patients with heart failure (3695 [66%] clinic outpatients, 2105 [34%] hospital in patients) from 108 centres in six geographical regions. We recorded baseline demographic and clinical characteristics and followed up patients at 6 months and 1 year from enrolment to record symptoms, medications, and outcomes. Time to death was studied with Cox proportional hazards models adjusted for demographic and clinical variables, medications, socioeconomic variables, and region. We used the explained risk statistic to calculate the relative contribution of each level of adjustment to the risk of death. Findings We enrolled 5823 patients within 1 year (with 98% follow-up). Overall mortality was 16·5%: highest in Africa (34%) and India (23%), intermediate in southeast Asia (15%), and lowest in China (7%), South America (9%), and the Middle East (9%). Regional differences persisted after multivariable adjustment. Independent predictors of mortality included cardiac variables (New York Heart Association Functional Class III or IV, previous admission for heart failure, and valve disease) and non-cardiac variables (body-mass index, chronic kidney disease, and chronic obstructive pulmonary disease). 46% of mortality risk was explained by multivariable modelling with these variables; however, the remainder was unexplained. Interpretation Marked regional differences in mortality in patients with heart failure persisted after multivariable adjustment for cardiac and non-cardiac factors. Therefore, variations in mortality between regions could be the result of health-care infrastructure, quality and access, or environmental and genetic factors. Further studies in large, global cohorts are needed. Funding The study was supported by Novartis.application/pdf10.1016/S2214-109X(17)30196-12214-109Xhttps://repositorio.udes.edu.co/handle/001/3203engThe Lancet Global HealthDerechos Reservados - Universidad de Santander, 2017info:eu-repo/semantics/closedAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_14cbhttps://www.thelancet.com/action/showPdf?pii=S2214-109X%2817%2930196-1GlobalMortalityHeart failureINTER-CHFGlobal mortality variations in patients with heart failure : Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationTHUMBNAILGlobal mortality variations in patients with heart failure. results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study.pdf.jpgGlobal mortality variations in patients with heart failure. results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study.pdf.jpgGenerated Thumbnailimage/jpeg1947https://repositorio.udes.edu.co/bitstreams/49d9fdf2-9d86-4fb1-b478-5c8378aa67ff/download763d4f5a94ee2f8ab59bc4b09107f378MD54Global mortality variations in patients with heart failure Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study.pdf.jpgGlobal mortality variations in patients with heart failure Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study.pdf.jpgGenerated Thumbnailimage/jpeg17792https://repositorio.udes.edu.co/bitstreams/9dcabd76-8097-495e-b73f-9e41222af705/download0f31dcad589ffa75d8051b80b3789e54MD59LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/c40b2409-3cbe-4cbf-9e16-5e1210b31400/download38d94cf55aa1bf2dac1a736ac45c881cMD52ORIGINALGlobal mortality variations in patients with heart failure Results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study.pdfArtículo Principalapplication/pdf922783https://repositorio.udes.edu.co/bitstreams/bcbb0e66-848a-45da-9f10-b4cb4ec4b143/download492d4c609d9f529358561f9d7119d718MD57TEXTGlobal mortality variations in patients with heart failure. 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