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

European Journal of Heart Failure
Òscar MiróICA-SEMES Research Group

Abstract

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. 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 i...Continue Reading

References

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Citations

Sep 10, 2019·European Journal of Heart Failure·Peder L MyhreMuthiah Vaduganathan
Oct 30, 2019·European Journal of Heart Failure·Marianna AdamoMarco Metra
Sep 23, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Miguel Alberto RizziUNKNOWN ICA-SEMES Research Group
Nov 17, 2020·European Heart Journal. Acute Cardiovascular Care·Òscar MiróUNKNOWN Study Group on Acute Heart Failure of the Acute Cardiovascular Care Association of the European Society of Cardiology
Dec 6, 2020·ESC Heart Failure·Daniela TomasoniMarco Metra
Aug 28, 2021·European Heart Journal·Theresa A McDonaghUNKNOWN ESC Scientific Document Group

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