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Prognostic Impact of Noncardiac Comorbidities in Heart Failure Patients

Completed
Conditions
Heart Failure, Diastolic
Heart Failure, Systolic
Interventions
Other: prognostic impact of non cardiac comorbidities
Registration Number
NCT02946476
Lead Sponsor
Ospedale Maggiore Di Trieste
Brief Summary

To better understand the public health prognostic impact of noncardiac chronic illnesses, we explored the attributable risk of noncardiac comorbidities on outcomes between heart failure patients with reduced ejection fraction (HFREF) and heart failure patients with preserved ejection fraction (HFpEF) in a large contemporary heart failure (HF) population The adjusted hazard ratio (HR) and the population attributable risk were used to compare the contributions of 15 noncardiac comorbidities to adverse outcome. The comorbidities that contributed to high attributable risk were: anemia, chronic kidney disease, chronic obstructive pulmonary disease, diabetes mellitus, and peripheral artery disease. These findings were similar for HFrEF and HFpEF groups. Interaction analysis confirmed similar results.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2314
Inclusion Criteria
  • All consecutive heart failure patients with left ventricular ejction fraction available before or within 3 months from the index visit
Exclusion Criteria
  • We excluded all patients who had severe primary left-sided valvular disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
HFrEFprognostic impact of non cardiac comorbiditiespatients with heart failure and reduced ejection fraction
HFpEFprognostic impact of non cardiac comorbiditiespatients with heart failure and preserved ejection fraction
Primary Outcome Measures
NameTimeMethod
overall mortality2 years
Secondary Outcome Measures
NameTimeMethod
noncardiovascular hospitalization2 years
First all-cause hospitalization2 years
Heart Failure hospitalization2 years
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