Renal function at admission as a prognostic marker for patients hospitalized for a first episode of heart failure. Results of the PREDICE study

Abstract Background and objectives Heart failure (HF) is a frequent condition that deteriorates quality of life and results in high morbidity and mortality. A considerable number of studies have been implemented in recent years to determine the factors that affect the prognosis of HF; however, few studies have assessed the prognosis of patients hospitalised for their first episode of HF. The aim of our study was to analyse the prognostic impact of renal function on patients hospitalised for a first episode of HF. Material and Methods We recruited 600 patients hospitalised for a first episode of HF in 3 tertiary Spanish hospitals. We analysed the mortality risk during the first year of follow-up according to renal function at the time of admission. Results The patients with the highest degree of kidney failure at admission were older (p  Conclusions The presence of kidney failure at admission was a marker of poor prognosis in our cohort of patients hospitalised for a first episode of HF