Association of longitudinal measures of hemoglobin and outcomes after hospitalization for heart failure

Anaemia in chronic heart failure: more awareness is required

“…We have confirmed the work of previous authors demonstrating that anaemia is a common problem in patients with CHF and is associated with worse outcomes such as a longer length of hospital stay and an increased rate of discharge to residential care . Anaemia is known to be associated with increased mortality in patients with CHF . We demonstrated that anaemia is poorly investigated in our study patients with only 60% of patients having iron studies, vitamin B12, folate and thyroid function testing performed, which together would be considered basic evaluation of anaemia.…”

“…The World Health Organization defines anaemia as a haemoglobin (Hb) level of less than 130 g/L in men and 120 g/L in women, and this is the most widely used definition . Patients with CHF who are anaemic have a higher mortality rate, especially those who are persistently anaemic over time . Anaemia in CHF is associated with older age, chronic renal failure (CRF), diabetes mellitus, more advanced symptoms, lower peak exercise capacity and worse health‐related quality‐of‐life metrics .…”

Anemia en la insuficiencia cardiaca: su utilidad como marcador de pronóstico o de comorbilidad: estudio GESAIC-2

“…Los pacientes fallecidos tenían mayor edad (media de 80 [8,9] frente a 76,8 [6,9] añ os, p = 0,02), menor puntuació n en el índice de Barthel (media de 77 [25,7] frente a 86,7 [19,5], p = 0,012), con mayor frecuencia estaban en clase funcional III-IV de la New York Heart Association (60,7 frente a 42,2%, p = 0,018) y no era el episodio de inicio de IC (21,4 frente a 42,1%; p = 0,006). Tenían peor funció n renal al alta, con una creatinina plasmá tica media de 1,5 (0,8) frente a 1,2 (0,5) mg/dl (p = 0,017) y un filtrado glomerular < 60 ml/min/1,73 m 2 en el 64,9% de los casos frente a 38,7% (p = 0,001).…”

Anemia in heart failure

“…The lower the hemoglobin values the higher the mortality (25). The longitudinal measurements of anemia are more important prognostic factors than basal measurements (35,36). The risk is higher in permanently low and decreasing hemoglobin levels (35).…”

“…The longitudinal measurements of anemia are more important prognostic factors than basal measurements (35,36). The risk is higher in permanently low and decreasing hemoglobin levels (35). The patients with anemia at the time of diagnosis have poor prognosis than those without anemia and the patients with permanent anemia have poorest prognosis (33).…”