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Provedor de dados:  BJMBR
País:  Brazil
Título:  Association between elevated adiponectin level and adverse outcomes in patients with heart failure: a systematic review and meta-analysis
Autores:  Bai,Wenwei
Huang,Jingjing
Zhu,Min
Liu,Xiaoyong
Tao,Jianping
Data:  2019-01-01
Ano:  2019
Palavras-chave:  Adiponectin
Heart failure
Mortality
Readmission
Meta-analysis
Resumo:  Studies regarding the prognostic value of circulating adiponectin level in patients with heart failure are conflicting. The aim of this meta-analysis was to evaluate the association between elevated circulating adiponectin level and adverse outcomes in patients with heart failure. We searched PubMed and Embase databases from their inception to June 2018. Original observational studies that investigated the prognostic value of adiponectin in heart failure patients and reported all-cause mortality or combined endpoints of death/readmission as outcome measure were included. Pooled risk ratio (RR) with 95% confidence intervals (CI) were estimated by higher versus lower circulating adiponectin level. A total of 7 studies involving 862 heart failure patients were identified. Meta-analysis showed that heart failure patients with higher adiponectin level had significantly increased risk of all-cause mortality (RR 2.05; 95%CI 1.22–3.43) after adjustment for potential confounders. In addition, higher adiponectin level was associated with an increased risk of the combined endpoints of death/readmission (RR 2.22; 95%CI 1.38–3.57). Elevated baseline circulating adiponectin level is possibly associated with an increased risk of all-cause mortality and the combined endpoints of death/readmission in patients with heart failure. Determination of circulating adiponectin level has potential to improve risk stratification in heart failure patients.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2019000700610
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/1414-431x20198416
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.52 n.7 2019
Direitos:  info:eu-repo/semantics/openAccess
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