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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of heart failure on the clinical course and outcomes of patients hospitalized for COVID-19. Results of the Cardio-COVID-Italy multicentre study
European Journal of Heart Failure, Volume 22, No. 12, Year 2020
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Description
Aims: To assess the prognostic value of a history of heart failure (HF) in patients with coronavirus disease 2019 (COVID-19). Methods and results: We enrolled 692 consecutive patients admitted for COVID-19 in 13 Italian cardiology centres between 1 March and 9 April 2020. Mean age was 67.4 ± 13.2 years, 69.5% of patients were males, 90 (13.0%) had a history of HF, median hospitalization length was 14 days (interquartile range 9–24). In-hospital death occurred in 37 of 90 patients (41.1%) with HF history vs. 126 of those with no HF history (20.9%). The increased risk of death associated with HF history remained significant after adjustment for clinical variables related to COVID-19 and HF severity, including comorbidities, oxygen saturation, lymphocyte count and plasma troponin [adjusted hazard ratio (HR) for death: 2.25; 95% confidence interval (CI) 1.26–4.02; P = 0.006 at multivariable Cox regression model including 404 patients]. Patients with a history of HF also had more in-hospital complications including. acute HF (33.3% vs. 5.1%, P < 0.001), acute renal failure (28.1% vs. 12.9%, P < 0.001), multiorgan failure (15.9% vs. 5.8%, P = 0.004) and sepsis (18.4% vs. 8.9%, P = 0.006). Other independent predictors of outcome were age, sex, oxygen saturation and oxygen partial pressure at arterial gas analysis/fraction of inspired oxygen ratio (PaO2/FiO2). In-hospital treatment with corticosteroids and heparin had beneficial effects (adjusted HR for death: 0.46; 95% CI 0.29–0.74; P = 0.001; n = 404 for corticosteroids, and adjusted HR 0.41; 95% CI 0.25–0.67; P < 0.001; n = 364 for heparin). Conclusions: Hospitalized patients with COVID-19 and a history of HF have an extremely poor outcome with higher mortality and in-hospital complications. HF history is an independent predictor of increased in-hospital mortality. © 2020 European Society of Cardiology
Authors & Co-Authors
Tomasoni, Daniela
Italy, Brescia
Spedali Civili Di Brescia
Agostoni, Piergiuseppe
Italy, Milan
Università Degli Studi Di Milano
Italy, Milan
Irccs Centro Cardiologico Monzino
Ameri, Pietro
Italy, Genoa
Scuola Di Scienze Mediche e Farmaceutiche, Università Degli Studi Di Genova
Camporotondo, Rita
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Carugo, Stefano
Italy, Milan
Ospedale San Paolo
Giovinazzo, Stefano
Italy, Genoa
Scuola Di Scienze Mediche e Farmaceutiche, Università Degli Studi Di Genova
Gnecchi, Massimiliano
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Iorio, Anna Maria Aria
Italy, Bergamo
Papa Giovanni Xxiii Hospital
La Rovere, Maria Teresa
Italy, Pavia
Istituti Clinici Scientifici Maugeri Spa – sb
Leonardi, Sergio
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Mapelli, Massimo
Italy, Milan
Università Degli Studi Di Milano
Mortara, Andrea
Unknown Affiliation
PIEPOLI, MASSIMO Francesco
Italy, Piacenza
Ospedale Guglielmo da Saliceto
Italy, Pisa
Sant'anna Scuola Universitaria Superiore Pisa
Porto, Italo
Italy, Genoa
Scuola Di Scienze Mediche e Farmaceutiche, Università Degli Studi Di Genova
Pozzi, Andrea
Italy, Bergamo
Papa Giovanni Xxiii Hospital
Sinagra, Gianfranco F.
Italy, Trieste
Azienda Sanitaria Universitaria Giuliano Isontina
Volterrani, Maurizio
Italy, Rome
Irccs San Raffaele Pisana
Guazzi, Marco
Italy, San Donato Milanese
Gruppo Ospedaliero San Donato
Senni, Michele
Italy, Bergamo
Papa Giovanni Xxiii Hospital
Metra, Marco
Italy, Brescia
Spedali Civili Di Brescia
Statistics
Citations: 91
Authors: 20
Affiliations: 14
Identifiers
Doi:
10.1002/ejhf.2052
ISSN:
13889842
Research Areas
Covid
Environmental
Health System And Policy
Study Approach
Qualitative