Heart failure & cardiomyopathies

U-Shaped Association Between Serum Calcium and In-Hospital Mortality in Patients with Congestive Heart Failure

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Our study identifies a U-shaped association between serum calcium levels and in-hospital mortality in CHF patients, with a notable inflection point at 8.35 mg/dL.

Study context

Population
Congestive heart failure (CHF) patients, Medical Information Mart for Intensive Care database
Participants
15,983 patients
Exposure
Serum calcium quintiles
Outcome
In-hospital mortality

Main finding

As reported in the abstract

Fully adjusted
Each group vs Q3Odds ratio (95% CI)P value
Q1
1.38(1.13–1.68)
P = 0.002
Q5
1.23(1.01–1.5)
P = 0.038
Effect size below threshold
0.782 (95% CI: 0.667-0.915, P = 0.0023)
Effect size above threshold
1.147 (95% CI: 1.034-1.273, P = 0.0094)

Observational data: associations, not effects.

Further findings

Stratified analyses confirmed the robustness of this correlation

Original publication

U-Shaped Association Between Serum Calcium and In-Hospital Mortality in Patients with Congestive Heart Failure. ESC Heart Fail. Published 11 March 2024. doi:10.1002/ehf2.14730

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

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