已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Mortality in patients admitted to hospital with heart failure in China: a nationwide Cardiovascular Association Database-Heart Failure Centre Registry cohort study

医学 心力衰竭 队列 队列研究 急诊医学 中国 数据库 医疗急救 内科学 地理 计算机科学 考古
作者
Hua Wang,Yingying Li,Ke Chai,Zheng Long,Zhikai Yang,Minghui Du,Shengfeng Wang,Siyan Zhan,Yujia Liu,Yuhao Wan,Fang Wang,Peng Yin,Weimin Li,Yuhua Liao,Yugang Dong,Xinli Li,Jingmin Zhou,Kai‐Hang Yiu,Maigeng Zhou,Yong Huo
出处
期刊:The Lancet Global Health [Elsevier BV]
卷期号:12 (4): e611-e622 被引量:19
标识
DOI:10.1016/s2214-109x(23)00605-8
摘要

BackgroundChina has the largest burden of heart failure worldwide. However, large-scale studies on heart failure mortality are scarce. We aimed to investigate mortality and identify risk factors for mortality among patients with heart failure in China.MethodsThis prospective cohort study used data from the China Cardiovascular Association (CCA) Database-Heart Failure Centre Registry, which were linked to the National Mortality Registration Information Management System by the Chinese Centre for Disease Control and Prevention. We included patients enrolled from Jan 1, 2017, to Dec 31, 2021, across 572 CCA Database-Heart Failure Centre certified hospitals in 31 provinces of mainland China. Eligible patients were aged 18 years or older (younger than 100 years) with a principal discharge diagnosis of heart failure based on Chinese heart failure guidelines. All-cause mortality at 30 days, 1 year, and 3 years for patients with heart failure were calculated and the causes of death were recorded. Multivariable analysis was used to analyse factors associated with all-cause mortality and cardiovascular mortality. This study was registered with the Chinese Clinical Trial Registry, ChiCTR2200066305.FindingsOf the 327 477 patients in the registry, 230 637 eligible adults with heart failure were included in our analyses. Participant mean age was 69·3 years (SD 13·2), 94 693 (41·1%) participants were female, and 135 944 (58·9%) were male. The median follow-up time was 531 days (IQR 251–883). Post-discharge all-cause mortality of patients with heart failure at 30 days was 2·4% (95% CI 2·3–2·5), at 1 year was 13·7% (13·5–13·9), and at 3 years was 28·2% (27·7–28·6). Cardiovascular death accounted for 32 906 (71·5%) of 46 006 all-cause deaths. Patients with heart failure with reduced ejection fraction had the highest all-cause mortality. A lower guideline adherence score was independently associated with the increase of all-cause and cardiovascular mortality.InterpretationIn China, mortality for patients with heart failure is still high, especially in patients with reduced ejection fraction. Our findings suggest that guideline-directed medical therapy needs to be improved.FundingNational High Level Hospital Clinical Research Funding, the Capital's Funds for Health Improvement and Research, and the Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences.TranslationFor the Chinese translation of the abstract see Supplementary Materials section.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
2秒前
YanK完成签到,获得积分20
4秒前
shuhaha完成签到,获得积分10
7秒前
开朗小兔子完成签到,获得积分10
9秒前
共享精神应助qiu采纳,获得10
10秒前
15秒前
zhuxuanfeng发布了新的文献求助10
17秒前
烟花应助hxt采纳,获得10
24秒前
24秒前
生动丑应助科研通管家采纳,获得10
28秒前
28秒前
李爱国应助科研通管家采纳,获得10
28秒前
吱吱吱完成签到 ,获得积分10
31秒前
31秒前
31秒前
随性随缘随命完成签到 ,获得积分10
36秒前
水若琳发布了新的文献求助10
36秒前
37秒前
pluto应助qiu采纳,获得10
37秒前
38秒前
刮刮粉儿完成签到,获得积分10
38秒前
Alex完成签到,获得积分0
38秒前
YJL完成签到 ,获得积分10
40秒前
Alex发布了新的文献求助3000
42秒前
power完成签到,获得积分10
43秒前
hxt发布了新的文献求助10
44秒前
tttt完成签到 ,获得积分10
45秒前
Dr_Stars完成签到,获得积分10
45秒前
旷野发布了新的文献求助10
47秒前
48秒前
不去明知山完成签到 ,获得积分10
56秒前
环走鱼尾纹完成签到 ,获得积分10
56秒前
123完成签到 ,获得积分10
57秒前
善学以致用应助muyangsiyuan采纳,获得10
57秒前
甜蜜发带完成签到 ,获得积分10
59秒前
Honor完成签到 ,获得积分10
59秒前
鹿小新完成签到 ,获得积分0
1分钟前
Jasper应助sunchengcehng采纳,获得10
1分钟前
恣意完成签到 ,获得积分10
1分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
Aktuelle Entwicklungen in der linguistischen Forschung 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989989
求助须知:如何正确求助?哪些是违规求助? 3532034
关于积分的说明 11256053
捐赠科研通 3270900
什么是DOI,文献DOI怎么找? 1805105
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809216