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Mortality prediction using CHADS2/CHA2DS2-VASc/R2CHADS2 scores in systolic heart failure patients with or without atrial fibrillation
- Source :
- Medicine
- Publication Year :
- 2017
-
Abstract
- Supplemental Digital Content is available in the text<br />The CHADS2, CHA2DS2-VASc, and R2CHADS2 scores are well-known predictors of stroke caused by atrial fibrillation (AF), but no studies have evaluated their use for stratifying all-cause mortality risk in patients discharged for systolic heart failure (SHF) with or without AF. This study analyzed data in the Taiwan Society of Cardiology—heart failure with reduced ejection fraction (TSOC-HFrEF) registry. These data were obtained by a prospective, multicenter, observational survey of patients treated at 21 medical centers in Taiwan after hospitalization for acute, pre-existing or new onset SHF from May, 2013 to October, 2014. During 1 year follow-up, 198 patients were lost follow-up, and final 1311 (86.8%) patients were included for further analysis. During the follow-up period, 250 (19%) patients died. Multivariate analysis revealed that body mass index, thyroid disorder, valvular surgery history, chronic kidney disease (CKD), and scores for CHADS2, CHA2DS2-VASc, and R2CHADS2 were significant independent predictors of mortality in the overall population of SHF patients (all P
- Subjects :
- Male
medicine.medical_specialty
MEDLINE
Taiwan
Observational Study
030204 cardiovascular system & hematology
risk score
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Text mining
Predictive Value of Tests
Risk Factors
Internal medicine
Atrial Fibrillation
medicine
Humans
030212 general & internal medicine
Prospective Studies
Registries
Prospective cohort study
Stroke
Aged
Framingham Risk Score
business.industry
systolic heart failure
Atrial fibrillation
General Medicine
Middle Aged
medicine.disease
mortality
Hospitalization
Research Design
Predictive value of tests
Heart failure
Cardiology
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Female
business
Heart Failure, Systolic
Research Article
Subjects
Details
- ISSN :
- 15365964
- Volume :
- 96
- Issue :
- 43
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....4d7c5603abdbf414f5849da6cd3574a2