Key result
Unrecognized renal insufficiency in hospitalized heart failure patients independently predicted increased in-hospital mortality compared to those without it (OR 2.30; 95% CI 1.45-3.72; P<0.001).
Why the study?
Does unrecognized renal insufficiency predict mortality in hospitalized patients with heart failure?
Population
4,102 hospitalized patients with heart failure
Comparison
Unrecognized renal insufficiency vs Recognized renal insufficiency and no renal…
Design
Cohort
Follow-up
1 year
Authors
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May warrant routine renal assessment on heart failure admission; leaves open whether recognition improves outcomes.
Observational (n=4,102)
Does unrecognized renal insufficiency predict mortality in hospitalized patients with heart failure?
Effect estimate: OR 2.30 (95% CI 1.45-3.72)
Absolute Event Rate: 7.1% vs 2.1%
p-value: p=<0.001
A high proportion of renal insufficiency remains unrecognized in hospitalized heart failure patients and is associated with significantly increased in-hospital mortality.
Amsalem et al. (2008) conducted an observational in Heart failure (n=4,102). Unrecognized renal insufficiency vs. No renal insufficiency was evaluated on In-hospital mortality (OR 2.30, 95% CI 1.45-3.72, p=<0.001). Unrecognized renal insufficiency in hospitalized heart failure patients independently predicted increased in-hospital mortality compared to those without it (OR 2.30; 95% CI 1.45-3.72; P<0.001).
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