Heart failure & cardiomyopathiesSecondary analysis

Bendopnea prevalence and prognostic value in older patients with heart failure: FRAGILE-HF–SONIC-HF post hoc analysis

Eur J Prev CardiolPublished

  • Post hoc analysis of the FRAGILE-HF and SONIC-HF prospective observational cohort studies
  • multicentre
  • main and validation cohorts

Authors' conclusion

Bendopnea was observed in a relatively small proportion of older patients hospitalized for heart failure before discharge. However, its presence was significantly associated with an increased risk of all-cause mortality.

Study context

Population
Older patients hospitalised for HFFRAGILE-HF 1243
Comparison
Bendopnea vs no bendopnea
Primary endpoint
All-cause mortality after discharge
Follow-up
2 years

Primary result

As reported in the abstract

2-year all-cause mortality
Bendopnea vs No bendopneaHazard ratio (95% CI)P value
FRAGILE-HF (main cohort), adjusted for conventional risk factors
2.11(1.18–3.78)
P = 0.012
SONIC-HF (validation cohort), adjusted for conventional risk factors
4.20(1.63–10.79)
P = 0.003
Higher mortality with bendopnea, FRAGILE-HF (Kaplan-Meier)
log-rank P = 0.006
Higher mortality with bendopnea, SONIC-HF (Kaplan-Meier)
log-rank P = 0.014

Further findings

Prevalence of bendopnea · before discharge

FRAGILE-HF
31 (2.5%)
SONIC-HF
10 (4.4%)

All-cause death over 2-year follow-up (whole cohort)

FRAGILE-HF
20.8%
SONIC-HF
21.9%

Original publication

Bendopnea prevalence and prognostic value in older patients with heart failure: FRAGILE-HF–SONIC-HF post hoc analysis. Eur J Prev Cardiol. Published 4 April 2024. doi:10.1093/eurjpc/zwae128

Summarised from the published abstract; every number is checked against it