Cardiorenal multimorbidity in hospitalized cardiology patients: The Hellenic Cardiorenal Morbidity Snapshot (HECMOS) study.
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Leontsinis Ioannis, Farmakis Dimitrios, Avramidis Dimitrios, Andrikou Eirini, Valatsou Angeliki, Gartzonikas Elias, Doundoulakis Ioannis, Zarifis Ioannis, Karpouzis Ioannis, Kafkala Kristalenia, Kouvelas Nikos, Kourek Christos, Koufou Eleni, Kochiadakis George, Kifnidis Konstantinos, Liori Sotiria, Manolis George, Marketou Maria, Moschos Nikitas, Bampatsias Dimitrios, Bibis George, Bonou Maria, Naka Aikaterini, Davlouros Periklis, Ntalakouras Ioannis, Papakonstantinou Panteleimon Ε, Pappa Evgenia, Patsilinakos Sotirios, Plaitis Aristeidis, Sideris Antonios, Sideris Skevos, Skoularigis John, Stamatelopoulos Kimon, Stefanou Garyfallia, Tziakas Dimitrios, Chatzieleftheriou Christos, Chrysochoou Christina, Filippatos Gerasimos, Tsioufis Costas
Аннотация
METHODS: The Hellenic Cardiorenal Morbidity Snapshot (HECMOS) used an electronic platform to collect demographic and clinically relevant information about all patients hospitalized on March 3, 2022, in Greece. The participating institutions covered all levels of inpatient cardiology care and most of the country's territories to collect a real-world, nation representative sample.
RESULTS: A total of 923 patients (men 68.4%, median age 73 ± 14.8 years) were admitted to 55 different cardiology departments. 57.7% of the participants were aged >70 years. Hypertension was highly prevalent and present in 66% of the cases. History of chronic HF, diabetes mellitus, atrial fibrillation, and chronic kidney disease was present in 38%, 31.8%, 30%, and 26%, respectively. Furthermore, 64.1% of the sample exhibited at least one of these 4 entities. Accordingly, a combination of ≥2 of these morbid conditions was recorded in 38.7%, of ≥3 in 18.2%, whereas 4.3% of the sample combined all 4 in their medical history. The most common combination was the coexistence of heart failure-atrial fibrillation accounting for 20.6% of the sample. Nine of 10 nonelectively admitted patients were hospitalized due to acute HF (39.9%), acute coronary syndrome (33.5%), or tachyarrhythmias (13.2%).
CONCLUSION: HECMOS participants carried a remarkable burden of cardio-reno-metabolic disease. HF in conjunction with atrial fibrillation was found to be the most prevalent combination among the studied cardiorenal nexus of morbidities in the whole study population.