{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T05:13:32Z","timestamp":1739423612054,"version":"3.37.0"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2025,2,12]]},"abstract":"<jats:p>Objetivos. Analizar si el estre\u00f1imiento cr\u00f3nico (EC) de pacientes ingresados por insuficiencia cardiaca aguda (ICA) se\nasocia con el pron\u00f3stico a corto plazo.\nM\u00e9todos. Se recogieron prospectivamente datos basales y cl\u00ednicos de una cohorte de pacientes consecutivos ingresados por ICA. Se estableci\u00f3 el diagn\u00f3stico de EC si el paciente reportaba la presencia de al menos dos de los siguientes\ns\u00edntomas durante al menos 3 meses en el \u00faltimo a\u00f1o: a) esfuerzo excesivo durante la defecaci\u00f3n, b) heces duras o\ngrumosas, c) sensaci\u00f3n de evacuaci\u00f3n incompleta, d) sensaci\u00f3n de obstrucci\u00f3n o bloqueo anorrectal, y e) menos de\ntres deposiciones espont\u00e1neas por semana. El objetivo primario fue analizar la asociaci\u00f3n cruda y ajustada del EC con\nel evento combinado de muerte o reingreso por insuficiencia card\u00edaca a 30 d\u00edas.\nResultados. Se incluyeron 492 pacientes hospitalizados por ICA, de los cuales 116 (23,6%) ten\u00edan EC al ingreso. La\nedad media fue de 64 (DE 11) y 65 (DE 10) para los pacientes sin y con EC. Los pacientes con EC ten\u00edan mayor prevalencia de insuficiencia renal cr\u00f3nica, valvulopat\u00eda, fibrilaci\u00f3n auricular y necesidad de ventilaci\u00f3n mec\u00e1nica al ingreso. El an\u00e1lisis de Kaplan-Meier antes y despu\u00e9s del emparejamiento por puntuaci\u00f3n de propensi\u00f3n demostr\u00f3 que el\nriesgo de muerte o reingreso por insuficiencia cardiaca a 30 d\u00edas era significativamente mayor en los pacientes con EC (antes: log-rank p &lt; 0,001; despu\u00e9s: log-rank p = 0,046).\nConclusiones. El EC en pacientes con ICA se asoci\u00f3 a peores resultados cl\u00ednicos a los 30 d\u00edas.<\/jats:p>","DOI":"10.55633\/s3me\/006.2025","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T07:57:11Z","timestamp":1739347031000},"source":"Crossref","is-referenced-by-count":0,"title":["Chronic constipation in patients with acute heart failure is related to prognosis"],"prefix":"10.55633","author":[{"given":"Alberto","family":"Dom\u00ednguez-Rodr\u00edguez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e9stor","family":"B\u00e1ez-Ferrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Avanzas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Formica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Abreu-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Trujillo-Mart\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Burillo-Putze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Hern\u00e1ndez-Vaquero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2025,2,12]]},"container-title":["Emergencias"],"original-title":["El estre\u00f1imiento cr\u00f3nico en los pacientes con insuficiencia cardiaca aguda se asocia con el pron\u00f3stico a corto plazo"],"deposited":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T07:57:13Z","timestamp":1739347033000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/el-estrenimiento-cronico-en-los-pacientes-con-insuficiencia-cardiaca-aguda-se-asocia-con-el-pronostico-a-corto-plazo\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/006.2025","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,12]]}}}