Heart failure & cardiomyopathies

Sex Differences in the Impact of Frailty on Patients with Heart Failure: A Retrospective Cohort Study

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Frailty is related to an increased risk of cardiovascular mortality in HF patients, particularly female patients.

Study context

Population
Participants with heart failure (HF), National Health and Nutrition Examination Survey (NHANES) 2009–201854.5% male
Participants
958 participants
Exposure
Frailty and CV mortality, by sex
Outcome
Death from CV causes
Follow-up
Median 3.6 years

Main finding

As reported in the abstract

CV mortality by FI (subgroup analysis by sex)
Hazard ratio (95% CI)P value
Females, most frail
3.65(1.07 ≈12.39)
P < 0.05
Females, per 1-unit increase in FI
1.78(1.33 ≈2.39)
P < 0.001

Per 1-unit increase in FI, as printed

Females who died from CV causes had higher baseline frailty index (FI)
P < 0.05
Males did not show higher baseline FI among CV deaths
P = 0.1253

Observational data: associations, not effects.

Further findings

Dose-response of FI and CV mortality

Dose-response association shown by restricted cubic splines

Original publication

Sex Differences in the Impact of Frailty on Patients with Heart Failure: A Retrospective Cohort Study. ESC Heart Fail. Published 8 August 2024. doi:10.1002/ehf2.14938

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

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