000125910 001__ 125910
000125910 005__ 20240705134147.0
000125910 0247_ $$2doi$$a10.1038/s41598-023-30610-2
000125910 0248_ $$2sideral$$a133430
000125910 037__ $$aART-2023-133430
000125910 041__ $$aeng
000125910 100__ $$aSuarez-Dono, J.
000125910 245__ $$aAtrial fibrillation as a new prognosis factor in chronic patients after hospitalization: the CHRONIBERIA index
000125910 260__ $$c2023
000125910 5060_ $$aAccess copy available to the general public$$fUnrestricted
000125910 5203_ $$aA collaborative project in different areas of Spain and Portugal was designed to find out the variables that influence the mortality after discharge and develop a prognostic model adapted to the current healthcare needs of chronic patients in an internal medicine ward. Inclusion criteria were being admitted to an Internal Medicine department and at least one chronic disease. Patients’ physical dependence was measured through Barthel index (BI). Pfeiffer test (PT) was used to establish cognitive status. We conducted logistic regression and Cox proportional hazard models to analyze the influence of those variables on one-year mortality. We also developed an external validation once decided the variables included in the index. We enrolled 1406 patients. Mean age was 79.5 (SD = 11.5) and females were 56.5%. After the follow-up period, 514 patients (36.6%) died. Five variables were identified as significantly associated with 1 year mortality: age, being male, lower BI punctuation, neoplasia and atrial fibrillation. A model with such variables was created to estimate one-year mortality risk, leading to the CHRONIBERIA. A ROC curve was made to determine the reliability of this index when applied to the global sample. An AUC of 0.72 (0.7–0.75) was obtained. The external validation of the index was successful and showed an AUC of 0.73 (0.67–0.79). Atrial fibrillation along with an advanced age, being male, low BI score, or an active neoplasia in chronic patients could be critical to identify high risk multiple chronic conditions patients. Together, these variables constitute the new CHRONIBERIA index.
000125910 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000125910 592__ $$a0.9$$b2023
000125910 593__ $$aMultidisciplinary$$c2023$$dQ1
000125910 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000125910 700__ $$aNovo-Veleiro, I.
000125910 700__ $$aGude-Sampedro, F.
000125910 700__ $$aMarinho, R.
000125910 700__ $$aXavier-Pires, S.
000125910 700__ $$aRocha, D.
000125910 700__ $$aAraújo-Correia, J.
000125910 700__ $$aMoreira, C.
000125910 700__ $$aBeires, F.
000125910 700__ $$aPérez, D.
000125910 700__ $$aDavid, F.
000125910 700__ $$aVasco-Barreto, J.
000125910 700__ $$0(orcid)0000-0001-9815-358X$$aDel Corral-Beamonte, E.
000125910 700__ $$aPiñeiro-Fernández, J.-C.
000125910 700__ $$aCasariego-Vales, E.
000125910 700__ $$0(orcid)0000-0002-3132-2171$$aDiez-Manglano, J.$$uUniversidad de Zaragoza
000125910 700__ $$aPose-Reino, A.
000125910 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000125910 773__ $$g13 (2023), 4068 [8 pp.]$$pSci. rep. (Nat. Publ. Group)$$tScientific reports (Nature Publishing Group)$$x2045-2322
000125910 8564_ $$s1109778$$uhttps://zaguan.unizar.es/record/125910/files/texto_completo.pdf$$yVersión publicada
000125910 8564_ $$s2462876$$uhttps://zaguan.unizar.es/record/125910/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000125910 909CO $$ooai:zaguan.unizar.es:125910$$particulos$$pdriver
000125910 951__ $$a2024-07-05-12:47:41
000125910 980__ $$aARTICLE