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Diabetes as a Predictor of In-Hospital and One-Year Outcomes After Decompensated Heart Failure

2020; Elsevier BV; Volume: 46; Issue: 3 Linguagem: Inglês

10.1016/j.cpcardiol.2020.100579

1535-6280

Enrique Fairman, Flavio Delfino, Víctor Mauro, Adrián Charask, Yanina Castillo Costa, Alesis Rafaelli, Lucas Rojo, Valentina Rodríguez Rowain, Leonardo Cáceres, Carlos Barrero,

Diabetes Treatment and Management

Diabetes and heart failure are closely interdependent, but its significance in decompensated heart failure (DHF) is not uniformly accepted. Objective: To compare mortality between diabetics and nondiabetics with DHF. Methods and Results: In-hospital and 1-year mortality of 1004 consecutive patients with DHF: 25.6% diabetics; median age was 81, 53% male. Diabetics were younger, more often male, with higher prevalence of ischemic etiology and reduced ejection fraction. Congestion was the most prevalent finding in both groups. In hospital mortality was 6.3% vs 6.6 % in nondiabetics and diabetics respectively and 1-year mortality was 35.77% in nondiabetics and 29.3% in diabetics. There were no significant differences in mortality at univariate and multivariate analyses. We applied a propensity score restricted to 378 patients, 189 (50%) diabetics and 189 (50%) and no significant differences were found. Conclusion: Diabetes had no impact on prognosis in DHF. Advanced age may played a major role in outcomes i thus making less relevant the presence of diabetes.