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Gender aspects on survival among patients admitted to hospital with suspected or diagnosed heart failure.

Tasevska, Gordana LU ; Kennedy, Linn LU ; Iwarson Cline, Anneli LU ; Erhardt, Leif RW LU and Willenheimer, Ronnie LU (2008) In Scandinavian Cardiovascular Journal 42. p.383-391
Abstract
Objectives and design. There are conflicting data on gender differences in survival among heart failure (HF) patients. We prospectively assessed gender differences in survival among 930 consecutive patients (464 [49.9%] women, mean age 76.1 +/- 10.1 years), admitted to hospital with suspected or diagnosed HF. Results. Overall, women had lower unadjusted mortality hazard ratio (HR) than men: HR 0.827; 95% confidence interval (CI) 0.690-0.992; p = 0.040. Adjusted HR was 0.786; 95% CI 0.601-1.028; p = 0.079. Unadjusted mortality was significantly higher among patients with a discharge HF diagnosis, compared to those without: HR 1.330; 95% CI 1.107-1.597; p = 0.002; adjusted p = 0.289. Women and men with a discharge HF diagnosis had similar... (More)
Objectives and design. There are conflicting data on gender differences in survival among heart failure (HF) patients. We prospectively assessed gender differences in survival among 930 consecutive patients (464 [49.9%] women, mean age 76.1 +/- 10.1 years), admitted to hospital with suspected or diagnosed HF. Results. Overall, women had lower unadjusted mortality hazard ratio (HR) than men: HR 0.827; 95% confidence interval (CI) 0.690-0.992; p = 0.040. Adjusted HR was 0.786; 95% CI 0.601-1.028; p = 0.079. Unadjusted mortality was significantly higher among patients with a discharge HF diagnosis, compared to those without: HR 1.330; 95% CI 1.107-1.597; p = 0.002; adjusted p = 0.289. Women and men with a discharge HF diagnosis had similar survival: unadjusted HR 1.052; 95% CI 0.829-1.336; p = 0.674; adjusted HR 0.875; 95% CI 0.625-1.225; p = 0.437. Women had lower mortality risk among patients without a discharge HF diagnosis: HR 0.630, 95% CI 0.476-0.833, p = 0.001; adjusted HR 0.611, p = 0.036. Conclusion. Prognosis was poor among patients hospitalised with suspected or diagnosed HF. Among all patients, women had better survival, whereas both sexes had similar survival when the HF diagnosis was certified. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Cardiovascular Journal
volume
42
pages
383 - 391
publisher
Taylor & Francis
external identifiers
  • WOS:000261337200006
  • PMID:18615351
  • Scopus:57349177877
ISSN
1651-2006
DOI
10.1080/14017430802226457
language
English
LU publication?
yes
id
156397d9-847d-4e02-a122-03e74ac12aeb (old id 1181319)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18615351?dopt=Abstract
date added to LUP
2008-08-07 13:49:07
date last changed
2016-10-13 04:27:53
@misc{156397d9-847d-4e02-a122-03e74ac12aeb,
  abstract     = {Objectives and design. There are conflicting data on gender differences in survival among heart failure (HF) patients. We prospectively assessed gender differences in survival among 930 consecutive patients (464 [49.9%] women, mean age 76.1 +/- 10.1 years), admitted to hospital with suspected or diagnosed HF. Results. Overall, women had lower unadjusted mortality hazard ratio (HR) than men: HR 0.827; 95% confidence interval (CI) 0.690-0.992; p = 0.040. Adjusted HR was 0.786; 95% CI 0.601-1.028; p = 0.079. Unadjusted mortality was significantly higher among patients with a discharge HF diagnosis, compared to those without: HR 1.330; 95% CI 1.107-1.597; p = 0.002; adjusted p = 0.289. Women and men with a discharge HF diagnosis had similar survival: unadjusted HR 1.052; 95% CI 0.829-1.336; p = 0.674; adjusted HR 0.875; 95% CI 0.625-1.225; p = 0.437. Women had lower mortality risk among patients without a discharge HF diagnosis: HR 0.630, 95% CI 0.476-0.833, p = 0.001; adjusted HR 0.611, p = 0.036. Conclusion. Prognosis was poor among patients hospitalised with suspected or diagnosed HF. Among all patients, women had better survival, whereas both sexes had similar survival when the HF diagnosis was certified.},
  author       = {Tasevska, Gordana and Kennedy, Linn and Iwarson Cline, Anneli and Erhardt, Leif RW and Willenheimer, Ronnie},
  issn         = {1651-2006},
  language     = {eng},
  pages        = {383--391},
  publisher    = {ARRAY(0x9df44a8)},
  series       = {Scandinavian Cardiovascular Journal},
  title        = {Gender aspects on survival among patients admitted to hospital with suspected or diagnosed heart failure.},
  url          = {http://dx.doi.org/10.1080/14017430802226457},
  volume       = {42},
  year         = {2008},
}