Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Use of the CHADS2 score as a predictor of the risk of mortality in hypertensive ...
Journal Information
Vol. 146. Issue 11.
Pages 478-483 (June 2016)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 146. Issue 11.
Pages 478-483 (June 2016)
Original article
DOI: 10.1016/j.medcle.2016.07.002
Use of the CHADS2 score as a predictor of the risk of mortality in hypertensive patients. The FAPRES study
Uso de la escala CHADS2 como predictor de riesgo de mortalidad en pacientes hipertensos. El estudio FAPRES
Visits
...
Elena Castillaa,
Corresponding author
elena_castilla@hotmail.com

Corresponding author.
, Pedro Morillasa, Manuel Gómeza, Miguel Ahumadaa, Marta Monteagudoa, Lorenzo Fácilab, Vicente Pallaresc
a Servicio de Cardiología, Hospital General Universitario de Elche, Elche, Alicante, Spain
b Servicio de Cardiología, Hospital General de Valencia, Valencia, Spain
c Unidad de Vigilancia de la Salud, Unión de Mutuas, Departamento de Medicina, Universitat Jaume I, Castellón, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Tables (4)
Table 1. Baseline characteristics of the population according to the CHADS2 score.
Table 2. Comparative study between patients according to follow-up mortality.
Table 3. Multivariate analysis. Factors associated with overall mortality during follow-up.
Table 4. Multivariate analysis. Factors associated with cardiovascular mortality during follow-up.
Show moreShow less
Abstract
Foundations and aim

The aim of this study is to analyze the CHADS2 score as a marker of the risk of mortality in hypertensive patients, with and without the presence of atrial fibrillation.

Methods

We included 1003 hypertensive patients ≥65 years. Risk factors, and CHADS2 score were recorded among other factors, as well as clinical follow-up of number and type of deaths.

Results

Mean age was 72.8±5.8 years, and 47.5% were men. During follow-up there were 41 deaths, 20 were of cardiovascular origin. Patients with higher CHADS2 had a higher mortality: 1.5% CHADS2=1; 4.7% in CHADS2=2; 9.1% in CHADS2=3, and 7.8% in CHADS24.

Conclusions

The CHADS2 score can be a clinical instrument of easy application to identify hypertensive patients with a high risk of mortality.

Keywords:
Cardiovascular mortality
Hypertension
Coagulation
Resumen
Fundamentos y objetivo

El objetivo del estudio es analizar la escala CHADS2 como marcador de riesgo de mortalidad en pacientes hipertensos, independientemente de la presencia o no de fibrilación auricular.

Métodos

Se incluyó a 1.003 pacientes hipertensos ≥ 65 años, recogiendo factores de riesgo y puntuación CHADS2. Se realizó un seguimiento clínico de la mortalidad.

Resultados

La media de edad de la población fue 72,8 ± 5,8 años; el 47,5% eran varones. Durante el seguimiento hubo 41 muertes, 20 de origen cardiovascular. Los pacientes con mayor CHADS2 tuvieron una mayor mortalidad: 1,5% en CHADS2 = 1; 4,7% en CHADS2 = 2; 9,1% en CHADS2 = 3, y 7,8% en CHADS2 ≥ 4.

Conclusiones

La puntuación CHADS2 puede ser un instrumento clínico de sencilla aplicación para identificar pacientes hipertensos con alto riesgo de mortalidad.

Palabras clave:
Mortalidad cardiovascular
Hipertensión arterial
Coagulación arterial

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos