Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study.
<h4>Background</h4>Despite the prognostic importance of hypoalbuminemia, the prognostic implication of a change in albumin levels has not been fully investigated during hospitalization in patients with acute decompensated heart failure (ADHF).<h4>Methods</h4>Using the data fr...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0243818 |
| _version_ | 1819291920910778368 |
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| author | Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Neiko Ozasa Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Mitsunori Kawato Yuta Seko Masayuki Shiba Mamoru Toyofuku Yutaka Furukawa Kenji Ando Kazushige Kadota Yukihito Sato Koichiro Kuwahara Takeshi Kimura |
| author_facet | Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Neiko Ozasa Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Mitsunori Kawato Yuta Seko Masayuki Shiba Mamoru Toyofuku Yutaka Furukawa Kenji Ando Kazushige Kadota Yukihito Sato Koichiro Kuwahara Takeshi Kimura |
| author_sort | Takao Kato |
| collection | DOAJ |
| description | <h4>Background</h4>Despite the prognostic importance of hypoalbuminemia, the prognostic implication of a change in albumin levels has not been fully investigated during hospitalization in patients with acute decompensated heart failure (ADHF).<h4>Methods</h4>Using the data from the Kyoto Congestive Heart Failure registry on 3160 patients who were discharged alive for acute heart failure hospitalization and in whom the change in albumin levels was calculated at discharge, we evaluated the association with an increase in serum albumin levels from admission to discharge and clinical outcomes by a multivariable Cox hazard model. The primary outcome measure was a composite of all-cause death or hospitalization for heart failure.<h4>Findings</h4>Patients with increased albumin levels (N = 1083, 34.3%) were younger and less often had smaller body mass index and renal dysfunction than those with no increase in albumin levels (N = 2077, 65.7%). Median follow-up was 475 days with a 96% 1-year follow-up rate. Relative to the group with no increase in albumin levels, the lower risk of the increased albumin group remained significant for the primary outcome measure (hazard ratio: 0.78, 95% confidence interval: 0.69-0.90: P = 0.0004) after adjusting for confounders including baseline albumin levels. When stratified by the quartiles of baseline albumin levels, the favorable effect of increased albumin was more pronounced in the lower quartiles of albumin levels, but without a significant interaction effect (interaction P = 0.49).<h4>Conclusions</h4>Independent of baseline albumin levels, an increase in albumin during index hospitalization was associated with a lower 1-year risk for a composite of all-cause death and hospitalization in patients with acute heart failure. |
| first_indexed | 2024-12-24T03:46:19Z |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-24T03:46:19Z |
| publishDate | 2020-01-01 |
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| series | PLoS ONE |
| spelling | doaj.art-2f4ee144cdd5434c981dcd00679d365a2022-12-21T17:16:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011512e024381810.1371/journal.pone.0243818Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study.Takao KatoHidenori YakuTakeshi MorimotoYasutaka InuzukaYodo TamakiNeiko OzasaErika YamamotoYusuke YoshikawaTakeshi KitaiRyoji TaniguchiMoritake IguchiMasashi KatoMamoru TakahashiToshikazu JinnaiTomoyuki IkedaKazuya NagaoTakafumi KawaiAkihiro KomasaRyusuke NishikawaYuichi KawaseTakashi MorinagaMitsunori KawatoYuta SekoMasayuki ShibaMamoru ToyofukuYutaka FurukawaKenji AndoKazushige KadotaYukihito SatoKoichiro KuwaharaTakeshi Kimura<h4>Background</h4>Despite the prognostic importance of hypoalbuminemia, the prognostic implication of a change in albumin levels has not been fully investigated during hospitalization in patients with acute decompensated heart failure (ADHF).<h4>Methods</h4>Using the data from the Kyoto Congestive Heart Failure registry on 3160 patients who were discharged alive for acute heart failure hospitalization and in whom the change in albumin levels was calculated at discharge, we evaluated the association with an increase in serum albumin levels from admission to discharge and clinical outcomes by a multivariable Cox hazard model. The primary outcome measure was a composite of all-cause death or hospitalization for heart failure.<h4>Findings</h4>Patients with increased albumin levels (N = 1083, 34.3%) were younger and less often had smaller body mass index and renal dysfunction than those with no increase in albumin levels (N = 2077, 65.7%). Median follow-up was 475 days with a 96% 1-year follow-up rate. Relative to the group with no increase in albumin levels, the lower risk of the increased albumin group remained significant for the primary outcome measure (hazard ratio: 0.78, 95% confidence interval: 0.69-0.90: P = 0.0004) after adjusting for confounders including baseline albumin levels. When stratified by the quartiles of baseline albumin levels, the favorable effect of increased albumin was more pronounced in the lower quartiles of albumin levels, but without a significant interaction effect (interaction P = 0.49).<h4>Conclusions</h4>Independent of baseline albumin levels, an increase in albumin during index hospitalization was associated with a lower 1-year risk for a composite of all-cause death and hospitalization in patients with acute heart failure.https://doi.org/10.1371/journal.pone.0243818 |
| spellingShingle | Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Neiko Ozasa Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Mitsunori Kawato Yuta Seko Masayuki Shiba Mamoru Toyofuku Yutaka Furukawa Kenji Ando Kazushige Kadota Yukihito Sato Koichiro Kuwahara Takeshi Kimura Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. PLoS ONE |
| title | Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. |
| title_full | Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. |
| title_fullStr | Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. |
| title_full_unstemmed | Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. |
| title_short | Association of an increase in serum albumin levels with positive 1-year outcomes in acute decompensated heart failure: A cohort study. |
| title_sort | association of an increase in serum albumin levels with positive 1 year outcomes in acute decompensated heart failure a cohort study |
| url | https://doi.org/10.1371/journal.pone.0243818 |
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