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  3. Prolonged hospitalization in patients admitted for acute heart failure in the short stay unit (EPICA-UCE study): Study of associated factors

Prolonged hospitalization in patients admitted for acute heart failure in the short stay unit (EPICA-UCE study): Study of associated factors

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Martin-Sanchez, FJ
  • Carbajosa, V
  • Llorens, P
  • Herrero, P
  • Jacob, J
  • Alonso, H
  • Murillo, JMT
  • Garrido, M
  • Lopez-Grima, ML
  • Pinera, P
  • Epelde, F
  • Alquezar, A
  • Fernandez, C
  • Miro, O
  • Representacion Grp ICA-SEMES

Grupos

Abstract

Background and objective: To study the factors associated with prolonged hospitalization in patients admitted for acute heart failure (AHF) in Spanish short-stay units (SSUs). Patients and methods: This was a multicentre, multipurpose cohort study with prospective follow-up including all patients admitted for AHF in the 11 SSUs of the EAHFE registry. Demographic data, previous illness, baseline cardiorespiratory and functional status, acute episode and admission and follow up variables at 60 days were recorded. The primary outcome was prolonged hospitalization in the SSU (>72 h). A logistic regression model was used to control the effects of confounding factors. Results: Eight-hundred and nineteen patients were included with a mean age of 80.9 (SD 8.4) years, 483 (59.0%) being women. The median length stay was 3.0 (IQR 2.0-5.0) days with an in-hospital mortality of 2.7%. The independent factors associated with prolonged hospitalization were the coexistence of chronic obstructive pulmonary disease (odds ratio [OR] 1.56; 95% IC 1.02-2.38; P=.040) and anaemia (OR 1.72; 95% CI 1.21-2.44; P =.002), basal oxygen saturation <90% on arrival to the Emergency Department (OR 2.21,95% C11.51-3.23; P <.001), hypertensive episode as the precipitating factor of the AHF (protective factor OR 0.49; 95% CI 0.26-0.93; P=.028) and admission on Thursday (OR 1.90; 95% CI 1.19-3.05; P=.008). There were no significant differences between both groups regarding to in-hospital mortality (2.4 vs. 3.0%), mortality (4.1 vs. 4.2%) or revisit at 60 days (18.4 vs. 21.6%). Conclusions: Several factors including hypertensive episode, insufficiency respiratory, anaemia, chronic obstructive pulmonary disease, and admission on Thursday should be taken into account in patients with AHF admitted in SSU stay to avoid prolonged hospitalization. (c) 2013 Elsevier Espana, S.L.U. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0025-7753, 1578-8989

MEDICINA CLINICA  ELSEVIER DOYMA SL

Tipo:
Article
Páginas:
245-251
PubMed:
24054770
Factor de Impacto:
0,250 SCImago ℠
Cuartil:
Q3 SCImago ℠

Citas Recibidas en Web of Science: 20

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Keywords

  • Acute heart failure; Short-Stay Unit; Prolongad hospitalization

Campos de Estudio

Proyectos y Estudios Clínicos

ESTUDIO DE FASE IIIB MULTICÉNTRICO, ALEATORIZADO, DOBLE CIEGO, CONTROLADO CON PLACEBO PARA EVALUAR LA EFICACIA, SEGURIDAD Y TOLERABILIDAD DE SERELAXINA AÑADIDA A LA TERAPIA DE REFERENCIA EN PACIENTES CON INSUFICIENCIA CARDÍACA AGUDA.

Investigador Principal: MARÍA JOSÉ PÉREZ DURÁ

CRLX030A2301 . 2013

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

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