Predictors of @entity998 in decompensated severe XXXX .

@entity1 @entity8 @entity712 @entity998 @entity63 @entity1526 @entity2753
OBJECTIVE: To identify predictors of @entity998 and mortality in decompensated @entity712 . INTRODUCTION: Introduction: @entity1 with decompensated @entity712 have a high mortality rate, especially those @entity1 with @entity998 . However, this clinical presentation is uncommon, and its management is controversial. METHODS: We studied a cohort of 452 @entity1 hospitalized with decompensated @entity712 with an ejection fraction of <0.45. @entity1 underwent clinical-hemodynamic assessment and @entity1526 immunoenzymatic assay. @entity998 was defined according to L and C clinical-hemodynamic profiles. Multivariate analyses assessed clinical outcomes. P<0.05 was considered significant. RESULTS: The mean age was 60.1 years; 245 (54.2%) @entity1 were >60 years, and 64.6% were @entity1 . @entity998 was present in 281 (63%) @entity1 on admission. @entity1526 was the cause of @entity712 in 92 (20.4%) @entity1 who had higher B type natriuretic peptide levels (1,978.38 vs. 1,697.64 pg/mL; P = 0.015). Predictors of @entity998 were @entity1526 (RR: 3.655, P<0.001), lower ejection fraction (RR: 2.414, P<0.001), @entity2753 (RR: 1.618, P = 0.036), and @entity8 (RR: 1.916, P = 0.007). Elderly @entity1 were inversely associated with @entity998 (RR: 0.436, P = 0.001). Predictors of mortality were @entity1526 (RR: 2.286, P<0.001), @entity63 etiology (RR: 1.449, P = 0.035), and @entity998 (RR: 1.419, P = 0.047). CONCLUSIONS: In severe decompensated @entity712 , predictors of @entity998 are @entity1526 , lower ejection fraction, @entity2753 , and @entity8 . Additionally, @entity1526 @entity1 have higher B type natriuretic peptide levels and a worse prognosis independent of lower ejection fraction.
