Heart failure & cardiomyopathies

Association of Chronic Obstructive Pulmonary Disease (COPD) with Adverse Outcomes in Heart Failure Patients with Preserved Ejection Fraction

ESC Heart FailPublished Systematic review and meta-analysis of post hoc analyses of RCTs and observational studies

Authors' conclusion

Evidence from existing studies supported that COPD was an independent prognostic risk factor for patients with HFpEF.

Study context

Population
Patients with HFpEF
Participants
18,602 patients11 studies
Comparison
COPD vs no COPD
Outcome
Hospitalization, mortality, and composite of hospitalization or mortality
Methodological detailsrandom-effects model, Searched PubMed, EMBASE and Cochrane Library up to April 2023
  • Random-effects model
  • Searched PubMed, EMBASE and Cochrane Library up to April 2023

Pooled result

As reported in the abstract

COPD vs No COPDRelative risk (95% CI)P value
Hospitalization
1.66(1.47–1.87)
P < 0.00001
Mortality
1.62(1.34–1.95)
P < 0.00001
Hospitalization or mortality
1.84(1.35–2.51)
P < 0.001

Further pooled results

OutcomeRRP value
CV mortality (subgroup analysis)1.59 (95% CI 1.30–1.93)P < 0.00001
Post-discharge mortality (subgroup analysis)2.57 (CI 1.34–4.93)P < 0.01
HF hospitalization (subgroup analysis)1.64 (95% CI 1.44–1.87)P < 0.00001

Original publication

Association of COPD with Adverse Outcomes in Heart Failure Patients with Preserved Ejection Fraction. ESC Heart Fail. Published 12 July 2024. doi:10.1002/ehf2.14958

Composed by AI from the published abstract and checked against it. How Briefs are made →

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