Survival analysis of patients with heart failure in the Ecuadorian Andean population

Introduction In western countries, it is estimated that one to two people per 100 adults have heart failure. In Latin America, and particularly in Ecuador, few studies have assessed survival in this disease. For this reason, this study aimed to determine survival and prognostic factors based on cli...

Full description

Bibliographic Details
Main Authors: Alvaro Francisco Gudiño-Gomezjurado, René Buitrón-Andrade
Format: Article
Language:English
Published: Medwave Estudios Limitada 2021-08-01
Series:Medwave
Subjects:
Online Access:https://www.medwave.cl/link.cgi/English/Original/Research/8440.act
Description
Summary:Introduction In western countries, it is estimated that one to two people per 100 adults have heart failure. In Latin America, and particularly in Ecuador, few studies have assessed survival in this disease. For this reason, this study aimed to determine survival and prognostic factors based on clinical and socio-demographic characteristics. Methods We did a single-center study of survival analysis in 228 patients with heart failure between 2015 and 2019. Survival analysis was done by the actuarial method and a multivariate Cox regression analysis. Results Overall survival at the first year was 86% and at five years was 46%. Heart failure etiology (hazard ratio, 1.162: 95% confidence interval, 1.001 to 1.349; P = 0.049), ethnicity (1.415; 10.1 to 199; P = 0.043), age (1.035; 1.011 to 1.06; P = 0.04) and altered values of basal creatinine (1.21; 1.002 to 1.461; P = 0.048) were associated with worse prognosis. Conclusions Global survival time was similar to other international studies. Etiology, ethnicity, creatinine values, and age were factors associated with a worse vital prognosis.
ISSN:0717-6384