Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry
Introduction: The increase in life expectancy and the aging of the population are associated with an increase in the prevalence of chronic diseases. Comorbidities have an important impact on prognosis and functional capacity leading to a progressive deterioration of autonomy and quality of life and...
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2021-07-01
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Series: | Spanish Journal of Medicine |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Beatriz Sánchez-Sauce Rosario Iguarán-Bermúdez José L. García-Klepzig Santiago Fernández Julia Barrado-Cuchillo Miguel Villar-Martínez Pablo Pérez-Mateo Lidia López-García Francisco J. Martín-Sánchez Elpidio Calvo-Manuel Jesús Díez-Manglano Ignacio Vallejo-Maroto Máximo Bernabeu-Wittel Álvaro González-Franco Luis Matías Beltrán-Romero José M. De-Miguel-Yanes Alejandra García-García Pau Llacer-Iborra Luis Manzano-Espinosa José M. Casas-Rojo Emmanuel Andres Noel Lorenzo-Villalba Manuel Méndez-Bailón |
spellingShingle |
Beatriz Sánchez-Sauce Rosario Iguarán-Bermúdez José L. García-Klepzig Santiago Fernández Julia Barrado-Cuchillo Miguel Villar-Martínez Pablo Pérez-Mateo Lidia López-García Francisco J. Martín-Sánchez Elpidio Calvo-Manuel Jesús Díez-Manglano Ignacio Vallejo-Maroto Máximo Bernabeu-Wittel Álvaro González-Franco Luis Matías Beltrán-Romero José M. De-Miguel-Yanes Alejandra García-García Pau Llacer-Iborra Luis Manzano-Espinosa José M. Casas-Rojo Emmanuel Andres Noel Lorenzo-Villalba Manuel Méndez-Bailón Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry Spanish Journal of Medicine Heart failure. Comorbidity. Chronic disease. |
author_facet |
Beatriz Sánchez-Sauce Rosario Iguarán-Bermúdez José L. García-Klepzig Santiago Fernández Julia Barrado-Cuchillo Miguel Villar-Martínez Pablo Pérez-Mateo Lidia López-García Francisco J. Martín-Sánchez Elpidio Calvo-Manuel Jesús Díez-Manglano Ignacio Vallejo-Maroto Máximo Bernabeu-Wittel Álvaro González-Franco Luis Matías Beltrán-Romero José M. De-Miguel-Yanes Alejandra García-García Pau Llacer-Iborra Luis Manzano-Espinosa José M. Casas-Rojo Emmanuel Andres Noel Lorenzo-Villalba Manuel Méndez-Bailón |
author_sort |
Beatriz Sánchez-Sauce |
title |
Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry |
title_short |
Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry |
title_full |
Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry |
title_fullStr |
Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry |
title_full_unstemmed |
Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registry |
title_sort |
prognostic and therapeutic stratification through the profund scale in patients with heart failure and comorbidities: profund-ic registry |
publisher |
Permanyer |
series |
Spanish Journal of Medicine |
issn |
2696-5631 |
publishDate |
2021-07-01 |
description |
Introduction: The increase in life expectancy and the aging of the population are associated with an increase in the prevalence of chronic diseases. Comorbidities have an important impact on prognosis and functional capacity leading to a progressive deterioration of autonomy and quality of life and an increase in demand for medical care. Establishment of an accurate prognosis constitutes one of the primary objectives in healthcare. An accurate estimate of prognosis helps clinicians make diagnostic and therapeutic decisions, prevent iatrogenesis, and consider palliative care strategy as needed. It also allows the patient and family members to organize their preferences and priorities. Objective: To evaluate the PROFUND scale in patients with heart failure from a prognostic point of view. Methods: A multicenter cohort study including patients admitted for heart failure to internal medicine departments over a 6-month period will be carried out. Inclusion criteria are patients with a diagnosis of heart failure and at least two criteria of multipathological patients and NT-proBNP >1500 pg/ml upon admission. The PROFUND scale will be applied to all patients. Patients will be then stratified into four groups according to the PROFUND scale: low, moderate, moderate-high and high mortality risk. Conclusion: Our work is a prospective study that aims to apply the PROFUND scale to patients with heart failure in the hospital setting with the purpose of helping in decision-making with our patients, which could lead to improvements in the management of resources in our health system.
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topic |
Heart failure. Comorbidity. Chronic disease. |
url |
https://www.spanishjmed.com/frame_esp.php?id=53 |
work_keys_str_mv |
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doaj-1b3ec1d911ef47d1a9aa9d7da1fd78b62021-10-06T21:36:29ZengPermanyerSpanish Journal of Medicine2696-56312021-07-0113Prognostic and therapeutic stratification through the PROFUND scale in patients with heart failure and comorbidities: PROFUND-IC registryBeatriz Sánchez-Sauce0Rosario Iguarán-Bermúdez1José L. García-Klepzig2Santiago Fernández3Julia Barrado-Cuchillo4Miguel Villar-Martínez5Pablo Pérez-Mateo6Lidia López-García7Francisco J. Martín-Sánchez8Elpidio Calvo-Manuel9Jesús Díez-Manglano10Ignacio Vallejo-Maroto11Máximo Bernabeu-Wittel12Álvaro González-Franco13Luis Matías Beltrán-Romero14José M. De-Miguel-Yanes15Alejandra García-García16Pau Llacer-Iborra17Luis Manzano-Espinosa18José M. Casas-Rojo19Emmanuel Andres20Noel Lorenzo-Villalba21Manuel Méndez-Bailón22Department of Internal Medicine, Hospital Fundación de Alcorcón, Alcorcón, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainNursing School, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Emergency, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainDepartment of Internal Medicine, Hospital Royo Villanova, Zaragoza, SpainDepartment of Internal Medicine, Hospital Universitario Virgen del Rocío, Sevilla, SpainDepartment of Internal Medicine, Hospital Universitario Virgen del Rocío; Department of Medicine, Universidad de Sevilla. Sevilla, SpainDepartment of Internal Medicine, Hospital Universitario Central de Asturias, Asturias, SpainDepartment of Internal Medicine, Hospital Virgen del Rocío, Sevilla, SpainDepartment of Internal Medicine, Hospital Gregorio Marañón, Madrid, SpainDepartment of Internal Medicine, Hospital Gregorio Marañón, Madrid, SpainDepartment of Internal Medicine, Hospital Ramón y Cajal, Madrid, SpainDepartment of Internal Medicine, Hospital Ramón y Cajal, Madrid, SpainDepartment of Internal Medicine, Hospital Infanta Cristina, Madrid. SpainInternal Medicine Service, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceInternal Medicine Service, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, SpainIntroduction: The increase in life expectancy and the aging of the population are associated with an increase in the prevalence of chronic diseases. Comorbidities have an important impact on prognosis and functional capacity leading to a progressive deterioration of autonomy and quality of life and an increase in demand for medical care. Establishment of an accurate prognosis constitutes one of the primary objectives in healthcare. An accurate estimate of prognosis helps clinicians make diagnostic and therapeutic decisions, prevent iatrogenesis, and consider palliative care strategy as needed. It also allows the patient and family members to organize their preferences and priorities. Objective: To evaluate the PROFUND scale in patients with heart failure from a prognostic point of view. Methods: A multicenter cohort study including patients admitted for heart failure to internal medicine departments over a 6-month period will be carried out. Inclusion criteria are patients with a diagnosis of heart failure and at least two criteria of multipathological patients and NT-proBNP >1500 pg/ml upon admission. The PROFUND scale will be applied to all patients. Patients will be then stratified into four groups according to the PROFUND scale: low, moderate, moderate-high and high mortality risk. Conclusion: Our work is a prospective study that aims to apply the PROFUND scale to patients with heart failure in the hospital setting with the purpose of helping in decision-making with our patients, which could lead to improvements in the management of resources in our health system. https://www.spanishjmed.com/frame_esp.php?id=53Heart failure. Comorbidity. Chronic disease. |