1. Inicio
  2. Publicaciones
  3. Departments involved during the first episode of acute heart failure and analysis of emergency department revisits and rehospitalisations: an outlook through the NOVICA cohort

Departments involved during the first episode of acute heart failure and analysis of emergency department revisits and rehospitalisations: an outlook through the NOVICA cohort

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Miro, O
  • Sarasola, AG
  • Fuenzalida, C
  • Calderon, S
  • Jacob, J
  • Aguirre, A
  • Wu, D
  • Rizzi, MA
  • Malchair, P
  • Haro, A
  • Herrera, S
  • Gil, V
  • Martin-Sanchez, FJ
  • Llorens, P
  • Puente, PH
  • Bueno, H
  • Rodriguez, AD
  • Muller, CE
  • Mebazaa, A
  • Chioncel, O
  • Alquezar-Arbe, A
  • Fuentes, M
  • Gil, C
  • Alonso, H
  • Perez-Llantada, E
  • Martin-Sanchez, FJ
  • Garcia, GL
  • Cadenas, MS
  • Escoda, R
  • Xipell, C
  • Sanchez, C
  • Pavon, J
  • Noval, A
  • Torres, JM
  • Lopez-Grima, ML
  • Valero, A
  • Juan, MA
  • Pedragosa, MA
  • Maso, SM
  • Alonso, MI
  • Ruiz, F
  • Franco, JM
  • Mecina, AB
  • Tost, J
  • Berenguer, M
  • Donea, R
  • Ramon, SS
  • Rodriguez, VC
  • Pinera, P
  • Nicolas, JAS
  • Garate, RT
  • Rizzi, MA
  • Roset, A
  • Cabello, I
  • Richard, F
  • Perez, JMA
  • Diez, MPL
  • Alvarez, JV
  • Garcia, BP
  • Garcia, MG
  • Gonzalez, MS
  • Javaloyes, P
  • Marquina, V
  • Jimenez, I
  • Hernandez, N
  • Brouzet, B
  • Espinosa, B
  • Andueza, JA
  • Romero, R
  • Ruiz, M
  • Calvache, R
  • Serralta, MTL
  • Jave, LEC
  • Arriaga, BA
  • Bergua, BS
  • Mojarro, EM
  • Jimenez, BSA
  • Becquer, LT
  • Burillo, G
  • Garcia, LL
  • LaSalle, GC
  • Urbano, CA
  • Soto, ABG
  • Padial, ED
  • Ferrer, ES
  • Garrido, JM
  • Lucas-Imbernon, FJ
  • Gaya, R
  • Bibiano, C
  • Mir, M
  • Rodriguez, B
  • Carballo, JL
  • Rodriguez-Adrada, E
  • Miranda, BR
  • ICA-SEMES Res Grp

Grupos

Abstract

Objectives We investigated the natural history of patients after a first episode of acute heart failure (FEAHF) requiring emergency department (ED) consultation, focusing on: the frequency of ED visits and hospitalisations, departments admitting patients during the first and subsequent hospitalisations, and factors associated with difficult disease control. Methods and results We included consecutive patients diagnosed with FEAHF (either with or without previous heart failure diagnosis) in four EDs during 5 months in three different time periods (2009, 2011, 2014). Diagnosis was adjudicated by local principal investigators. The clinical characteristics of the index event were prospectively recorded, and all post-discharge ED visits and hospitalisations [related/unrelated to acute heart failure (AHF)], as well as departments involved in subsequent hospitalisations were retrospectively ascertained. 'Uncontrolled disease' during the first year after FEAHF was considered if patients were attended at ED (>= 3 times) or hospitalised (>= 2 times) for AHF or died. Overall, 505 patients with FEAHF were included and followed for a mean of 2.4 years. In-hospital mortality was 7.5%. Among 467 patients discharged alive, 288 died [median survival 3.9 years, 95% confidence interval (CI) 3.5-4.4], 421 (90%) revisited the ED (2342 ED visits; 42.4% requiring hospitalisation, 34.0% AHF-related) and 357 (77%) were hospitalised (1054 hospitalisations; 94.1% through ED, 51.4% AHF-related). AHF-related hospitalisations were mainly in internal medicine (28.0%), short-stay unit (26.3%), cardiology (20.8%), and geriatrics (14.1%). Only 47.4% of AHF-related hospitalisations were in the same department as the FEAHF, and internal medicine involvement significantly increased with subsequent hospitalisations (P = 0.01). Uncontrolled disease was observed in 31% of patients, which was independently related to age > 80 years [odds ratio (OR) 1.80, 95% CI 1.17-2.77], systolic blood pressure < 110 mmHg at ED arrival (OR 2.61, 95% CI 1.26-5.38) and anaemia (OR 2.39, 95% CI 1.51-3.78). Conclusion In the present aged cohort of AHF patients from Barcelona, Spain, the natural history after FEAHF showed different patterns of hospital department involvement. Advanced age, low systolic blood pressure and anaemia were factors related to uncontrolled disease during the year after debut.

Datos de la publicación

ISSN/ISSNe:
1388-9842, 1879-0844

EUROPEAN JOURNAL OF HEART FAILURE  WILEY-BLACKWELL

Tipo:
Article
Páginas:
1231-1244
PubMed:
31389111
Factor de Impacto:
5,556 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 37

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Heart failure; De novo acute heart failure; Hospitalisation; Rehospitalisation; Emergency department; Mortality

Campos de Estudio

Proyectos y Estudios Clínicos

PRAGMATIC, CONTROLLED, INTERNATIONAL STUDY CONDUCTED IN SEVERAL CENTRES ON THE SAFETY AND THERAPEUTIC EFFECT OF A HYDROXYLETHYL-STARCH (HES) SOLUTION VERSUS AN ELECTROLYTE SOLUTION IN TRAUMA PATIENTS.

Investigador Principal: ÓSCAR DÍAZ CAMBRONERO

HC-G-H-1505 . 2018

EFECTO DE V0251 EN EL VÉRTIGO AGUDO. ESTUDIO ALEATORIZADO, DOBLE CIEGO Y CONTROLADO CON PLACEBO.

Investigador Principal: HERMINIO PÉREZ GARRIGUES

V00251IV2024A

PERFIL DE RIESGO DE LOS PACIENTES CON ETV EN HOSPITALES ESPAÑOLES ATENDIDOS EN LOS SERVICIOS DE URGENCIAS E IMPACTO ASISTENCIAL: REGISTRO ESPHERIA.

Investigador Principal: MARÍA JOSÉ PÉREZ DURÁ

ESPHERIA

PLANIFICACIÓN DEL ALTA DESDE URGENCIAS PARA REDUCIR REINGRESOS A 30 DÍAS EN MAYORES FRÁGILES CON INSUFICIENCIA CARDÍACA AGUDA: ENSAYO CLÍNICO ALEATORIZADO POR CONGLOMERADOS PAREADO.

Investigador Principal: CARMEN GARGALLO MAICAS

DEED FRAIL-AHF . 2019

Cita

Compartir