{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T11:09:32Z","timestamp":1763809772755,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T00:00:00Z","timestamp":1511827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine whether the presence of a prior diagnosis of diabetes mellitus (DM) influences mortality risk in elderly patients experiencing a first episode of heart failure (HF) hospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 677 consecutive patients aged \u226575 years admitted for a first episode of acute decompensated heart failure were evaluated according to the presence or not of DM, and in\u2010hospital and 1\u2010year mortality rates were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 240 patients (35.4%) had a diagnosis of DM. Overall, 42 patients (6.2%) died during admission; and 205 patients (30.3%) died after 1 year; however, no differences were observed in mortality rates between both groups. Cox univariate analysis did not identify prior DM diagnosis as a risk factor for 1\u2010year mortality (HR 0.767, <jats:italic>P<\/jats:italic> &lt; 0.082). Multivariate analysis identified older age (HR 1.101, <jats:italic>P<\/jats:italic> &lt; 0.0001), lower preadmission Barthel Index (HR 0.987, <jats:italic>P<\/jats:italic> = 0.002), higher heart rate (HR 1.013, <jats:italic>P<\/jats:italic> = 0.02), higher admission serum potassium (HR 1.471, <jats:italic>P<\/jats:italic> = 0.016) and non\u2010prescription of angiotensin\u2010converting enzyme inhibitors or angiotensin II receptor antagonists (HR 1.597, <jats:italic>P<\/jats:italic> = 0.018) as independent risk factors for 1\u2010year mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>More than one\u2010third of elderly patients experiencing a first admission because of acute heart failure decompensation had a prior diagnosis of DM. However, DM did not seem to be associated to a significant 1\u2010year mortality risk. <jats:bold>Geriatr Gerontol Int 2018; 18: 554\u2013560<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13215","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T16:00:53Z","timestamp":1511971253000},"page":"554-560","source":"Crossref","is-referenced-by-count":8,"title":["Association between diabetes and mortality in elderly patients admitted for a first episode of acute heart failure"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3587-298X","authenticated-orcid":false,"given":"Francesc","family":"Formiga","sequence":"first","affiliation":[{"name":"Geriatric Unit, Internal Medicine Department Hospital Universitari de Bellvitge\u2010IDIBELL, L'Hospitalet de Llobregat  Barcelona 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