Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study
العنوان: | Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study |
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المؤلفون: | Miró, Ò., Padrosa, J., Takagi, K., Gayat, É., Gil, V., Llorens, P., Martín-Sánchez, F.J., Herrero-Puente, P., Jacob, J., Montero, M.M., Tost, J., Díez, M.P.L., Traveria, L., Torres-Gárate, R., Alonso, M.I., Agüera, C., Valero, A., Javaloyes, P., Peacock, W.F., Bueno, H., Mebazaa, A., Fuentes, M., Gil, C., Alonso, H., Garmila, P., García, G.L., Yáñez-Palma, M.C., López, S.I., Escoda, R., Xipell, C., Sánchez, C., Gaytan, J.M., Pérez-Durá, M.J., Salvo, E., Pavón, J., Noval, A., Torres, J.M., López-Grima, M.L., Juan, M.Á., Aguirre, A., Morales, J.E., Masó, S.M., Ruiz, F., Franco, J.M., Mecina, A.B., Sánchez, S., Carbajosa, V., Piñera, P., Nicolás, J.A.S., Garate, R.T., Alquezar, A., Rizzi, M.A., Herrera, S., Roset, A., Cabello, I., Richard, F., Pérez, J.M.Á., Diez, M.P.L., Álvarez, J.V., García, B.P., Sánchez González, M.G.G.Y., Marquina, V., Jiménez, I., Hernández, N., Brouzet, B., Ramos, S., López, A., Andueza, J.A., Romero, R., Ruíz, M., Calvache, R., Lorca, M.T., Calderón, L., Arriaga, B.A., Sierra, B., Mojarro, E.M., Bécquer, L.T., Burillo, G., García, L.L., LaSalle, G.C., Urbano, C.A., Soto, A.B.G., Padial, E.D., Ferrer, E.S., Garrido, M., Lucas, F.J., Gaya, R., Bibiano, C., Mir, M., Rodríguez, B., Sánchez, N., Carballo, J.L., Rodríguez-Adrada, E. |
المصدر: | EUROPEAN JOURNAL OF INTERNAL MEDICINE r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname European Journal of Internal Medicine r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau Zaguán. Repositorio Digital de la Universidad de Zaragoza Zaguán: Repositorio Digital de la Universidad de Zaragoza Universidad de Zaragoza |
بيانات النشر: | ELSEVIER SCIENCE BV, 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Post-discharge outcomes, Acute heart failure, Vulnerability phase, Mortality, Readmission, Length of hospitalisation |
الوصف: | Objective: To investigate the relationship between length of hospitalisation (LOH) and post-discharge outcomes in acute heart failure (AHF) patients and to ascertain whether there are different patterns according to department of initial hospitalisation. Methods: Consecutive AHF patients hospitalised in 41 Spanish centres were grouped based on the LOH (< 6/6-10/11-15/ > 15 days). Outcomes were defined as 90-day post-discharge all-cause mortality, AHF readmissions, and the combination of both. Hazard ratios (HRs), adjusted by chronic conditions and severity of decompensation, were calculated for groups with LOH > 6 days vs. LOH < 6 days (reference), and stratified by hospitalisation in cardiology, internal medicine, geriatrics, or short-stay units. Results: We included 8563 patients (mean age: 80 (SD = 10) years, 55.5% women), with a median LOH of 7 days (IQR 4-11): 2934 (34.3%) had a LOH < 6 days, 3184 (37.2%) 6-10 days, 1287 (15.0%) 11-15 days, and 1158 (13.5%) > 15 days. The 90-day post-discharge mortality was 11.4%, readmission 32.2%, and combined end-point 37.4%. Mortality was increased by 36.5% (95%CI = 13.0-64.9) when LOH was 11-15 days, and by 72.0% (95%CI = 42.6-107.5) when > 15 days. Conversely, no differences were found in readmission risk, and the combined end-point only increased 21.6% (95%CI = 8.4-36.4) for LOH > 15 days. Stratified analysis by hospitalisation departments rendered similar post-discharge outcomes, with all exhibiting increased mortality for LOH > 15 days and no significant increments in readmission risk. Conclusions: Short hospitalisations are not associated with worse outcomes. While post-discharge readmissions are not affected by LOH, mortality risk increases as the LOH lengthens. These findings were similar across hospitalisation departments. |
وصف الملف: | application/pdf |
تدمد: | 0953-6205 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::355b2efa1aa4cece43fdce672d9479cd https://fundanet.iislafe.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=11475 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.dedup.wf.001..355b2efa1aa4cece43fdce672d9479cd |
قاعدة البيانات: | OpenAIRE |
تدمد: | 09536205 |
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