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Authordc.contributor.authorCastro, Pablo
Authordc.contributor.authorVerdejo, Hugo
Authordc.contributor.authorAltamirano, Rodrigo
Authordc.contributor.authorDowney, Patricio
Authordc.contributor.authorVukasovic, José Luis
Authordc.contributor.authorSepúlveda Jaqui, Luis
Authordc.contributor.authorLanas, Fernando
Authordc.contributor.authorBilbao, Paola
Authordc.contributor.authorPacheco, Ricardo
Authordc.contributor.authorRossel Mariángel, Víctor
Admission datedc.date.accessioned2019-01-29T13:56:13Z
Available datedc.date.available2019-01-29T13:56:13Z
Publication datedc.date.issued2013
Cita de ítemdc.identifier.citationRev Med Chile 2013; 141: 995-1002
Identifierdc.identifier.issn00349887
Identifierdc.identifier.issn07176163
Identifierdc.identifier.other10.4067/S0034-98872013000800005
Identifierdc.identifier.urihttps://repositorio.uchile.cl/handle/2250/160098
Abstractdc.description.abstractBackground: Acute deterioration of kidney function among patients admitted to the hospital for cardiac failure is associated with an increased mortality. Aim: To investigate the association between deterioration of kidney function and mortality among patients hospitalized for cardiac failure. Material and Methods: Patients admitted for decompensated cardiac failure to 14 Chilean hospitals between 2002 and 2009 were incorporated to the study. Clinical and laboratory features were registered. Serum creatinine values on admission and discharge were determined. Hospital and long term mortality was determined requesting death certificates to the National Identification Service at the end of follow up, lasting 635 ± 581 days. Results: One thousand sixty four patients were incorporated and 1100, aged 68 ± 13 years (45% females) had information about renal function. Seventy seven percent were hypertensive and 36% were diabetic. Mean ejection fraction was 41 ± 18% and 34% had an ejection fraction over 50%. Mean admission creatinine was 1.7 ± 1.6 mg/dl and 19% had a creatinine over 2 mg/dl. Serum creatinine increased more than 0.5 mg/dl during hospitalization in 9% of general patients and in 11% of diabetics. The increase in creatinine was associated with a higher risk of hospital mortality (odds ratio (OR) 12.9, 95% confidence intervals (CI) 6.7-27.6) and long term mortality (OR 2.1, 95% CI 1.6-3). Conclusions: The deterioration of renal function during hospitalization of patients with heart failure is a risk factor for hospital and long term mortality.
Lenguagedc.language.isosp
Publisherdc.publisherSociedad Médica de Santiago
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile
Link to Licensedc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/
Sourcedc.sourceRevista Médica de Chile
Keywordsdc.subjectHeart failure
Keywordsdc.subjectRenal insufficiency
Keywordsdc.subjectRisk factors
Títulodc.titleIncidencia e importancia pronóstica del deterioro de la función renal en pacientes hospitalizados con insuficiencia cardíaca
Title in another languagedc.title.alternativeDeterioration of kidney function as a risk factor for mortality among patients hospitalized for heart failure
Document typedc.typeArtículo de revista
dcterms.accessRightsdcterms.accessRightsAcceso abierto
Catalogueruchile.catalogadorlaj
Indexationuchile.indexArtículo de publicación SCOPUS
Indexationuchile.indexArtículo de publicación SciELO
Access notedct.AccessRightsAcceso abierto
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Attribution-NonCommercial-NoDerivs 3.0 Chile
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Chile