{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:19:47Z","timestamp":1792628387898,"version":"4.5.0"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>In older adults hospitalized for heart failure, a poor score on a comprehensive geriatric assessment (CGA) is associated with worse prognosis during hospitalization and at 1 month after discharge. However, the association between the CGA score and long-term mortality is uncertain.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>This is a prospective study of 487 patients aged \u226575 years admitted for decompensated heart failure. At discharge, a CGA score (range, 0\u201310) was calculated based on limitation in activities of daily living, mobility limitation, comorbidity, cognitive decline, and previous medication use. The analysis of the association between the CGA score and 2-year subsequent mortality was performed with Cox regression and adjusted for the main confounders. A 1-point increase in the CGA score was associated with a 19% higher mortality (hazard ratio, 1.19; 95% confidence interval, 1.11\u20131.27). Results were similar regardless of age, sex, left ventricular ejection fraction, and the coexistence of atrial fibrillation, ischemic heart disease, or hypertensive cardiopathy. All components of the CGA score showed a consistent association with higher death risk: the hazard ratio (95% confidence interval) of mortality was 1.78 (1.25\u20132.54) with \u22653 versus 0 limitations in activities of daily living, 1.36 (1.0\u20131.86) with moderate or severe versus no or mild limitation in mobility, 1.98 (1.29\u20133.03) with a \u22655 versus \u22641 score on the Charlson index, 2.48 (1.84\u20133.34) with previous cognitive decline, and 1.77 (0.99\u20133.18) in those using \u22658 versus \u22643 medications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>The score on a simple CGA is associated with long-term mortality in older patients hospitalized for heart failure.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circoutcomes.113.000551","type":"journal-article","created":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T04:25:10Z","timestamp":1393993510000},"page":"251-258","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":45,"title":["Comprehensive Geriatric Assessment and 2-Year Mortality in Elderly Patients Hospitalized for Heart Failure"],"prefix":"10.1161","volume":"7","author":[{"given":"Carlos","family":"Rodriguez-Pascual","sequence":"first","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Paredes-Galan","sequence":"additional","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo","family":"Vilches-Moraga","sequence":"additional","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Isabel","family":"Ferrero-Martinez","sequence":"additional","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Torrente-Carballido","sequence":"additional","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Rodriguez-Artalejo","sequence":"additional","affiliation":[{"name":"From the Departments of Geriatric Medicine (C.R.-P., A.V.-M., A.I.F.-M., M.T.-C.) and Cardiology (E.P.-G.), Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain; Instituto de Investigaci\u00f3n Biom\u00e9dica de Vigo (IBIV), Vigo, Spain (C.R.-P.); Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, Spain (C.R.-P.); and Department of Preventive Medicine and Public Health, School of Medicine, Universidad Aut\u00f3noma de Madrid\/IdiPaz,..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04077.x"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs128"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.01.030"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb05927.x"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6553"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.08.009"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/circheartfailure.109.865022"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197112232852601"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehn309"},{"key":"e_1_3_4_11_2","first-page":"198","article-title":"Patients\u2019 self-assessment of their congestive heart failure, part 2: content, reliability and validity of a new measure, the Minnesota Living with Heart Failure Questionnaire.","volume":"3","author":"Rector TS","year":"1987","unstructured":"Rector TS, Kubo SH, Cohn JN. 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