• Daniel Fernández-Bergés, Reyes González-Fernández, Francisco Javier Félix-Redondo, José Arevalo Lorido, Lorena Yeguas Rosa, Miriam Hernández-González, Alessia Rubini, Miguel Galán Montejano, María Carmen Gamero, and Luis Lozano Mera.
• Unidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España. Electronic address: daniel.fernandezb@salud-juntaex.es.
• Aten Primaria. 2022 Jul 1; 54 (7): 102357102357.

AimTo study the evolution of the clinical profile of a population discharged with a main diagnosis of heart failure (HF) in the first two decades of the century and the predictive variables of mortality and readmission in the first year of discharge.DesignObservational, retrospective, longitudinal study. SITE: Don Benito Villanueva de la Serena Badajoz health area.ParticipantsAll patients discharged with a main diagnosis of HF between 2000 and 2019 in a general hospital complex were included.Main MeasurementsSociodemographic and clinical variables were collected, and a one-year follow-up; the result variable was a composite of mortality and/or readmission.ResultsA total of 4107 discharges were included, mean age 77.1 (SD±10.5) years, 53.1% women. The number of admissions, age, history of neoplasms, stroke, kidney failure, and anemia increased, as did readmissions (P for trends <.001), while mortality remained constant. Predictive variables for readmission and/or death were HR (95%CI): age (per year) 1.04 (1.03-1.04), diabetes: 1.11 (1.01-1.24), previous HF 1.41 (1.28-1.57), composite variable myocardial infarction, stroke and/or peripheral artery disease 1.24 (1.11-1.38), chronic obstructive pulmonary disease (COPD) 1.29 (1.15-1.44), neoplasia 1.33 (1.16-1.53), anemia 1.63 (1.41-1.86), chronic kidney failure 1.42 (1.26-1.60).ConclusionsIn the last 20 years, admissions for heart failure, patient age, and comorbidity have increased. Predictive variables for mortality and/or readmission were age, diabetes, previous cardiovascular disease, neoplasms, COPD, kidney failure, and anemia; however, mortality at one year remained constant.Copyright © 2022 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

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