Prognostic value of nocturnal pulse oximetry in patients with heart failure

被引:1
|
作者
Rivera-Lopez, Ricardo [1 ]
Jordan-Martinez, Laura [1 ]
Lopez-Fernandez, Silvia [1 ]
Rivera-Fernandez, Ricardo [2 ]
Tercedor, Luis [1 ]
Saez-Roca, German [3 ]
机构
[1] Hosp Univ Virgen Nieves, Serv Cardiol, Granada, Spain
[2] Complejo Hosp Jaen, Unidad Cuidados Intens, Jaen, Spain
[3] Hosp Univ Virgen Nieves, Serv Neumol, Granada, Spain
来源
MEDICINA CLINICA | 2018年 / 150卷 / 10期
关键词
Factors related to the prognosis; Heart failure; Hypoxaemia; Sleep disordered breathing; OBSTRUCTIVE SLEEP-APNEA; MORTALITY; DIAGNOSIS; PRESSURE;
D O I
10.1016/j.medcli.2017.11.024
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and objectives: To analyze the prognostic value of nocturnal hypoxemia measured with portable nocturnal pulse-oximetry in patients hospitalized due to heart failure and its relation to mortality and hospital readmission. Methods: We included 38 patients who were admitted consecutively to our unit with the diagnosis of decompensated heart failure. Pulse-oximetry was considered positive for hypoxemia when more than 10 desaturations per hour were recorded during sleep. Follow-up was performed for 30.3 (standard deviation [SD] 14.2) months, the main objective being a combined endpoint of all-cause mortality and hospital readmission due to heart failure. Results: The average age was 70.7 (SD 10.7) years, 63.3% were males. Pulse-oximetry was considered positive for hypoxemia in 27 (71%) patients. Patients with positive pulse-oximetry had the most frequent endpoint (9.1% [1] vs. 61.5% [16], P = 0.003). After multivariate analysis, continuous nocturnal hypoxemia was related to the combined endpoint (HR = 8.37, 1.19-68.4, P = 0.03). Discussion: Patients hospitalized for heart failure and nocturnal hypoxemia measured with portable pulse- oximeter have an increased risk of hospital readmission and death. (C) 2017 Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:383 / 386
页数:4
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