Abstract
To identify the factors associated with prolonged length of hospital stay in patients admitted for acute heart failure. Multipurpose observational cohort study including patients from the EAHFE registry admitted for acute heart failure in 25 Spanish hospitals. Data were collected on demographic and clinical variables and on the day and place of admission. The primary outcome was length of hospital stay longer than the median. We included 2,400 patients with a mean age of 79.5 (9.9) years; of these, 1,334 (55.6%) were women. Five hundred and ninety (24.6%) were admitted to the short stay unit (SSU), 606 (25.2%) to cardiology, and 1,204 (50.2%) to internal medicine or gerontology. The mean length of hospital stay was 7.0 (RIC 4-11) days. Fifty-eight (2.4%) patients died and 562 (23.9%) were readmitted within 30 days after discharge. The factors associated with prolonged length of hospital stay were chronic pulmonary disease; being a device carrier; having an unknown or uncommon triggering factor; the presence of renal insufficiency, hyponatremia and anaemia in the emergency department; not being admitted to an SSU or the lack of this facility in the hospital; and being admitted on Monday, Tuesday or Wednesday. The factors associa...Continue Reading
References
Dec 23, 1971·The New England Journal of Medicine·P A McKeeW B Kannel
Sep 27, 2006·European Heart Journal·Markku S NieminenUNKNOWN Heart Failure Association, European Society of Cardiology
Jun 2, 2007·American Heart Journal·Gregg C FonarowUNKNOWN ADHERE Scientific Advisory Committee and Investigators
Dec 2, 2008·Journal of Cardiac Failure·Paul J HauptmanUNKNOWN Heart Failure Society of America
Sep 29, 2009·American Heart Journal·Amrut V AmbardekarUNKNOWN Get With the Guidelines Steering Committee and Hospitals
Jun 3, 2010·JAMA : the Journal of the American Medical Association·Héctor BuenoHarlan M Krumholz
Aug 3, 2011·Journal of Cardiac Failure·David J WhellanGregg C Fonarow
Dec 5, 2012·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Randi E ForakerWayne D Rosamond
Dec 19, 2012·Annals of Internal Medicine·Peter J KaboliMary Vaughan-Sarrazin
Dec 26, 2012·Revista Clínica Espanõla·E Frigola-CapellJ M Verdú-Rotellar
Jun 7, 2013·Circulation·UNKNOWN WRITING COMMITTEE MEMBERSUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Sep 24, 2013·Medicina clínica·Francisco Javier Martín-SánchezUNKNOWN en representación del grupo ICA-SEMES
Jun 16, 2014·Medicina clínica·Julio Montes-SantiagoJosé Manuel Cerqueiro González
Oct 2, 2014·Professional Case Management·Sabrina Marie White, Alethea Hill
Feb 3, 2015·American Heart Journal·Boback ZiaeianGregg C Fonarow
Citations
Sep 14, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Víctor GilUNKNOWN ICA-SEMES Research Group
Sep 2, 2020·Medicina·Pungkava SricharoenEkpaiboon Cheuathonghua
Apr 8, 2020·Internal and Emergency Medicine·Fernando-Miguel Gamboa-Antiñolo
Jan 23, 2021·Acta Cardiologica·Raquel López-VilellaLuis Almenar Bonet