A comparison of precipitants and mortality when acute decompensated heart failure occurs in the community and hospital settings

Heart, Lung & Circulation
D McD TaylorL M Burrell

Abstract

We aimed to compare the precipitants of acute decompensated heart failure (ADHF) among patients admitted with diagnoses inclusive of ADHF (community patients) and patients admitted without ADHF but who developed it during their stay (hospital patients). This was a prospective, analytical, observational study undertaken in the Austin Hospital, a major metropolitan teaching hospital (September 2008-February 2010). Consecutive patients admitted to a general medicine unit, and diagnosed and treated for ADHF were enrolled. The unit medical staff completed a specifically designed data collection document. Three hundred and fifty-nine patients were enrolled (42.9% male, mean age 81.9 years). The community (n=312) and hospital (n=47) patient groups did not differ in age, gender, risk variables (living alone, cognitive impairment, multiple medications, compliance), cardiac failure medication use or cause of known heart failure (ischaemia, hypertension, valve dysfunction, 'other') (p>0.05). The ADHF precipitants comprised infection (39.8% patients), myocardial ischaemia (17.3%), tachyarrhythmia (16.2%), non-compliance with fluid and salt restriction (9.2%), non-compliance with medication (6.7%), renal failure (5.8%), medication reduction...Continue Reading

References

Mar 1, 1986·Archives of Internal Medicine·J J GoldbergerW H Frishman
Apr 1, 1997·American Journal of Public Health·M H Chin, L Goldman
Dec 5, 2000·Hospital Medicine·D R Murdoch, J J McMurray
Nov 9, 2001·Archives of Internal Medicine·R T TsuyukiS Yusuf
Aug 3, 2005·International Journal of Cardiology·Carlos Pena-GilJordi Soler-Soler
Nov 4, 2005·International Journal of Cardiology·Peter BarlisLouise M Burrell
Dec 31, 2005·The New England Journal of Medicine·Lorraine B Ware, Michael A Matthay

❮ Previous
Next ❯

Citations

Oct 5, 2013·Current Heart Failure Reports·Daniel E FormanJerome L Fleg
Apr 11, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·John T ParissisFerenc Follath
Feb 24, 2016·European Heart Journal. Acute Cardiovascular Care·Òscar MiróUNKNOWN Acute Heart Failure Study Group of the ESC Acute Cardiovascular Care Association
Jul 3, 2021·Heart Failure Reviews·Janine BeezerPaul Forsyth

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.