Association of Blood Pressure at Hospital Discharge With Mortality in Patients Diagnosed With Heart Failure
Why the study?
Does discharge systolic blood pressure associate with long-term survival in patients hospitalized for heart failure?
Population
7448 patients with heart failure discharged from the hospital, mean age 75.2+/-11.5 years, 49.9% men, in…
Comparison
Discharge systolic blood pressure outside the… vs Discharge SBP in the reference range of 120 to…
Design
Cohort
Follow-up
25,427 person-years total follow-up
Authors
Discussion
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Member takes
Implication
Low discharge SBP signals higher mortality risk in HFrEF; observational data leaves optimal targets open for prospective trials.
Structured PICO
Does discharge systolic blood pressure associate with long-term survival in patients hospitalized for heart failure?
P
Population
7448 patients with heart failure discharged from the hospital, mean age 75.2+/-11.5 years, 49.9% men, in Ontario, Canada.
I
Intervention
Discharge systolic blood pressure (SBP) outside the reference range (<100, 100-119, 140-159, and >=160 mm Hg)
C
Comparator
Discharge SBP in the reference range of 120 to 139 mm Hg
O
Outcome
Long-term survival (mortality)hard clinical
Discharge systolic blood pressure has a U-shaped association with long-term mortality in heart failure patients, with both low and high values predicting shortened survival compared to a reference range of 120-139 mm Hg.
Cite This Study
Lee et al. (2009) studied this question.