Use of Diuretics is not associated with mortality in patients admitted to the emergency department: results from a cross-sectional study
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Use of Diuretics is not associated with mortality in patients admitted to the emergency department: results from a cross-sectional study. / Haider, Dominik G; Lindner, Gregor; Wolzt, Michael; Leichtle, Alexander Benedikt; Fiedler, Georg-Martin; Sauter, Thomas C; Fuhrmann, Valentin; Exadaktylos, Aristomenis K.
in: J Negat Results Biomed, Jahrgang 15, Nr. 1, 2016, S. 1-4.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Use of Diuretics is not associated with mortality in patients admitted to the emergency department: results from a cross-sectional study
AU - Haider, Dominik G
AU - Lindner, Gregor
AU - Wolzt, Michael
AU - Leichtle, Alexander Benedikt
AU - Fiedler, Georg-Martin
AU - Sauter, Thomas C
AU - Fuhrmann, Valentin
AU - Exadaktylos, Aristomenis K
PY - 2016
Y1 - 2016
N2 - BACKGROUND: Patients with diuretic therapy are at risk for drug-induced adverse reactions. It is unknown if presence of diuretic therapy at hospital emergency room admission is associated with mortality.METHODS: In this cross sectional analysis, all emergency room patients 2010 and 2011 at the Inselspital Bern, Switzerland were included. A multivariable logistic regression model was performed to assess the association between pre-existing diuretic medication and 28 day mortality.RESULTS: Twenty-two thousand two hundred thirty-nine subjects were included in the analysis. A total of 8.5 %, 2.5 %, and 0.4 % of patients used one, two, or three or more diuretics. In univariate analysis spironolactone, torasemide and chlortalidone use were associated with 28 day mortality (all p < 0.05). In a multivariate cox regression model no association with mortality was detectable (p > 0.05). No difference existed between patients with or without diuretic therapy (P > 0.05). Age and creatinine were independent risk factors for mortaliy (both p < 0.05).CONCLUSION: Use of diuretics is not associated with mortality in an unselected cohort of patients presenting in an emergency room.
AB - BACKGROUND: Patients with diuretic therapy are at risk for drug-induced adverse reactions. It is unknown if presence of diuretic therapy at hospital emergency room admission is associated with mortality.METHODS: In this cross sectional analysis, all emergency room patients 2010 and 2011 at the Inselspital Bern, Switzerland were included. A multivariable logistic regression model was performed to assess the association between pre-existing diuretic medication and 28 day mortality.RESULTS: Twenty-two thousand two hundred thirty-nine subjects were included in the analysis. A total of 8.5 %, 2.5 %, and 0.4 % of patients used one, two, or three or more diuretics. In univariate analysis spironolactone, torasemide and chlortalidone use were associated with 28 day mortality (all p < 0.05). In a multivariate cox regression model no association with mortality was detectable (p > 0.05). No difference existed between patients with or without diuretic therapy (P > 0.05). Age and creatinine were independent risk factors for mortaliy (both p < 0.05).CONCLUSION: Use of diuretics is not associated with mortality in an unselected cohort of patients presenting in an emergency room.
U2 - 10.1186/s12952-016-0044-1
DO - 10.1186/s12952-016-0044-1
M3 - SCORING: Journal article
C2 - 26832747
VL - 15
SP - 1
EP - 4
JO - J Negat Results Biomed
JF - J Negat Results Biomed
SN - 1477-5751
IS - 1
ER -