The Prognostic Impact of Renal Function Decline during Hospitalization for Heart Failure.
Kidney Blood Press Res
; 49(1): 48-59, 2024.
Article
in En
| MEDLINE
| ID: mdl-38142681
ABSTRACT
INTRODUCTION:
We aimed to evaluate the prognostic impact of renal insufficiency and fluctuation of glomerular filtration observed during hospitalization for heart failure (HF).METHODS:
We followed 3,639 patients hospitalized for acute HF and assessed the mortality risk associated with moderate or severe renal insufficiency, either permanent or transient.RESULTS:
After adjustment, severe renal failure defined as estimated glomerular filtration (eGFR) <30 mL/min indicates ≈60% increase in 5-year mortality risk. Similar risk also had patients with only transient decline of eGFR to this range. In contrast, we did not observe any apparent mortality risk attributable to mild/moderate renal insufficiency (eGFR 30-59.9 mL/min), regardless of whether it was transient or permanent.CONCLUSION:
Even transient severe renal failure during hospitalization indicates poor long-term prognosis of patients with manifested HF. In contrast, only moderate renal insufficiency observed during hospitalization has no additive long-term mortality impact.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Renal Insufficiency
/
Heart Failure
Limits:
Humans
Language:
En
Journal:
Kidney & blood pressure research (Online)
/
Kidney Blood Press Res
/
Kidney blood press. res. (Online)
Journal subject:
NEFROLOGIA
Year:
2024
Type:
Article