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Patrones de cambio de peso anteriores a la hospitalización por insuficiencia cardíaca
Sarwat I Chaudhry1, Yongfei Wang, John Concato
1Department of Internal Medicine, Section of General Medicine, Yale School of Medicine, New Haven, CT 06520, USA. sarwat.chaudhry@yale.edu
Circulation
|September 12, 2007
Resumen
El aumento de peso que precede a la hospitalización por insuficiencia cardíaca comienza al menos una semana antes del ingreso. El monitoreo diario del peso en pacientes con insuficiencia cardíaca puede identificar períodos de alto riesgo para la intervención.
Área de la Ciencia:
- Cardiología Cardiología.
- Monitoreo médico de seguimiento médico.
- Salud Pública La salud pública.
Sus antecedentes:
- El aumento de peso es un marcador reconocido para la descompensación de la insuficiencia cardíaca en el manejo de la enfermedad.
- Existen datos limitados sobre la relación precisa entre los cambios de peso y el riesgo de hospitalización en pacientes con insuficiencia cardíaca.
Objetivo del estudio:
- Cuantificar la asociación entre los cambios en el peso corporal y el riesgo de hospitalización inminente en pacientes con insuficiencia cardíaca.
- Identificar la relación temporal entre el aumento de peso y las hospitalizaciones por insuficiencia cardíaca.
Principales métodos:
- Se realizó un estudio de casos y controles anidados utilizando datos de un sistema de monitoreo en el hogar.
- 134 pacientes hospitalizados por insuficiencia cardíaca fueron emparejados con 134 pacientes de control.
- El análisis se centró en los cambios de peso en relación con la inscripción en el sistema de monitoreo.
Principales resultados:
- Los pacientes de caso mostraron un aumento gradual de peso que comenzó aproximadamente 30 días antes de la hospitalización (P <0,001).
- Los aumentos de peso de >2-5 libras, >5-10 libras y >10 libras se asociaron con un aumento significativo de las probabilidades de hospitalización (ORs 2.77, 4.46, 7.65).
- Los patrones de peso divergieron significativamente en la semana anterior a la hospitalización.
Conclusiones:
- Los aumentos de peso corporal están relacionados con las hospitalizaciones por insuficiencia cardíaca, que comienzan al menos una semana antes.
- El monitoreo diario del peso puede identificar períodos de alto riesgo para intervenciones proactivas para prevenir la insuficiencia cardíaca descompensada que requiere hospitalización.
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