PT455 A systematic review of patient education in cardiac patients: do they increase knowledge and promote health behavior change?
Bibliographic record
Abstract
To analyze the differential clinical characteristics according to gender of patients with heart failure in terms of etiology, comorbidity, triggers, treatment, hospital stay and overall mortality at 1 year.We employed data from the RICA registry, a multicenter prospective cohort of patients hospitalized in internal medicine departments for heart failure, with a follow-up of 1 year. We analyzed the differences between the genders in terms of the etiology of the heart disease, comorbidity, triggers, left ventricle ejection fraction, functional state, mental condition, treatment, length of stay and mortality at 1 year.A total of 1772 patients (47.2% men) were included. The women were older than the men (p < .001) and had a higher prevalence of hypertension, obesity, chronic kidney disease, atrial fibrillation and preserved left ventricle ejection fraction (p < .001). The men's medical history had a predominance of myocardial infarction, chronic obstructive pulmonary disease, peripheral arteriopathy (p < .001) and anemia (p = .02). In the women, a hypertensive etiology was predominant, followed by valvular. The main triggers were hypertension and atrial fibrillation. Treatment with beta-blockers, ACEIs and/or ARBs did not differ by sex. The women had poorer functional capacity (p < .001), according to the Barthel index. After adjusting for age and other prognostic factors, the mortality at 1 year was lower among the women (RR: 0.69; 95% CI 0.53–0.89; p = .004).HF in women occurs at a later age and with different comorbidities. The hypertensive and valvular etiology is predominant, with preserved left ventricle ejection fraction, and the age-adjusted mortality is lower than in men.Analizar las características clínicas diferenciales en función del sexo en pacientes con insuficiencia cardiaca (IC) en cuanto a etiología, comorbilidad, desencadenantes, tratamiento, estancia hospitalaria y mortalidad global al año.Se utilizaron los datos del registro RICA, cohorte prospectiva multicéntrica de pacientes hospitalizados en servicios de Medicina Interna por IC con seguimiento de un año. Se analizaron las diferencias de género en cuanto a la etiología de la cardiopatía, comorbilidad, factor desencadenante, fracción de eyección de ventrículo izquierdo, situación funcional, estado mental, tratamiento, estancia y mortalidad al año.Se incluyeron 1772 pacientes (47,2% varones). Las mujeres eran mayores que los varones (p < 0,001), tenían mayor prevalencia de hipertensión, obesidad, enfermedad renal crónica, fibrilación auricular y fracción de eyección de ventrículo izquierdo preservada (p < 0,001). Entre los varones predominaban los antecedentes de infarto de miocardio, enfermedad pulmonar obstructiva crónica, arteriopatía periférica (p < 0,001) y anemia (p = 0,02). En las mujeres predominó la etiología hipertensiva, seguida de la valvular. Los principales desencadenantes fueron la hipertensión y fibrilación auricular. El tratamiento con beta-bloqueantes, IECA y/o ARA II no difirió en función del sexo. Las mujeres tenían peor capacidad funcional (p < 0,001) según el índice de Barthel. Tras ajustar por edad y otros factores pronósticos, la mortalidad al año fue menor entre las mujeres RR : 0,69 (IC 95% 0,53–0,89; p = 0,004).La IC en la mujer se presenta a edad más avanzada y con diferente comorbilidad. Predomina la etiología hipertensiva y valvular, con fracción de eyección de ventrículo izquierdo preservada, y la mortalidad ajustada por la edad es menor que en el varón.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.004 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".