scholarly journals Factors influencing the length of hospital stay of patients with heart failure

2003 ◽  
Vol 5 (2) ◽  
pp. 201-209 ◽  
Author(s):  
S.P. Wright ◽  
D. Verouhis ◽  
G. Gamble ◽  
K. Swedberg ◽  
N. Sharpe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Factors Influencing ◽  
Patients With Heart Failure

scholarly journals 5 The Impact of Psychiatric Comorbidities on the Length of Hospital Stay in Patients with Heart Failure

Heart ◽  
2016 ◽  
Vol 102 (Suppl 6) ◽  
pp. A4-A5
Author(s):  
Paul Carter ◽  
Andrew Carter ◽  
Jennifer Reynolds ◽  
Hardeep Uppal ◽  
Suresh Chandran ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Psychiatric Comorbidities ◽  
Patients With Heart Failure ◽  
The Impact

scholarly journals Efficacy of Tolvaptan in Elderly Patients with Heart Failure and Preserved Ejection Fraction

2019 ◽  
Vol 5 (2) ◽  
pp. 59-65
Author(s):  
Yoriyasu Suzuki ◽  
Akira Murata ◽  
Satoshi Tsujimoto ◽  
Yusuke Ochiumi ◽  
Tatsuya Ito
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Elderly Patients ◽  
Hospital Stay ◽  
Clinical Outcomes ◽  
Rest Period ◽  
Length Of Hospital Stay ◽  
Bed Rest ◽  
Preserved Ejection Fraction ◽  
Patients With Heart Failure

Abstract Background: There is no known therapy with proven efficacy for improving clinical outcomes in elderly patients with heart failure (HF) and preserved ejection fraction (HFpEF). In this study, we aimed to evaluate the efficacy of tolvaptan (TLV) in elderly HFpEF patients. Methods: This retrospective observational study involved 100 consecutive elderly HFpEF patients hospitalized at the Nagoya Heart Center, Japan. Inclusion criteria were: (1) patients aged ≥75 years; (2) first hospitalization secondary to HF; (3) received medical therapy for HF, without invasive treatment; and (4) clinical follow-up for >6 months after discharge. The primary endpoint was rehospitalization due to worsening HF, and the secondary endpoint was worsening renal function (WRF) during hospitalization and at 6 months after discharge. Sixty background-matched HFpEF patients were divided into 2 groups: with TLV therapy (TLV (+), n = 29) and without TLV therapy (TLV (–), n = 31). In the TLV (+) group, TLV therapy was continued after discharge. Clinical outcomes of these patients were evaluated. Results: Bed rest period and length of hospital stay were significantly shorter in the TLV (+) group than in the TLV (−) group. The dose of loop diuretics, mean serum creatinine levels, and incidence of WRF development were significantly lower in the TLV (+) group. Incidence of rehospitalization was also significantly lower in the TLV (+) group (log-rank test; p = 0.018). The multivariate logistic regression analysis demonstrated that TLV therapy reduces the incidence of rehospitalization in elderly patients with HFpEF. Conclusions: TLV therapy reduced the bed rest period, length of hospital stay, and rate of rehospitalization without WRF in elderly HFpEF patients, suggesting that TLV could represent an effective therapy for this group of patients.

Factors associated with length of hospital stay of patients with heart failure

2008 ◽  
Vol 17 ◽  
pp. S48
Author(s):  
Aristidis Tziovas ◽  
Theocharis Livieratos ◽  
George Fagogenis ◽  
Alexandros Patsilinakos ◽  
Fotini Kontari ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Factors Associated ◽  
Patients With Heart Failure

scholarly journals The impact of psychiatric comorbidities on the length of hospital stay in patients with heart failure

2016 ◽  
Vol 207 ◽  
pp. 292-296 ◽  
Author(s):  
Paul Carter ◽  
Jennifer Reynolds ◽  
Andrew Carter ◽  
Siri Potluri ◽  
Hardeep Uppal ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Psychiatric Comorbidities ◽  
Patients With Heart Failure ◽  
The Impact

Abstract 13570: Diabetes is Probably Associated With Larger Fluid Retention in Patients With Heart Failure With Preserved Ejection Fraction

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Katsuomi IWAKURA ◽  
Toshinari Onishi ◽  
Koichi Inoue ◽  
Masato Okada ◽  
Yasushi Koyama ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Weight ◽  
Ejection Fraction ◽  
Hospital Stay ◽  
Diastolic Pressure ◽  
Fluid Retention ◽  
Repeated Measure ◽  
Diabetic Patients ◽  
Preserved Ejection Fraction ◽  
Patients With Heart Failure

Introduction: Diabetes is observed in about third of patients with heart failure with preserved ejection fraction (HFpEF), and it is not well elucidated how it would affect the clinical conditions of HFpEF. We investigated the physical and echocardiographic characteristics of diabetes patients in a large-scale, registration study of HFpEF. Methods: We analyzed clinical and echocardiography data obtained at admission and just before hospital discharge in the PURSUIT-HFpEF (Prospective, Multicenter, Observational Study of Patients with Heart Failure with Preserved Ejection Fraction), which is a multicenter registration study of patients who were hospitalized for HFpEF. Results: We enrolled 862 patients who were hospitalized for HFpEF between June, 2016 and December, 2019 (Age 81±9 years, male gender 44.5%) for the present study. Diabetes was observed in 287 patients (33.3%), and their age was higher (82±8 years vs. 80±9 years, p=0.003) and body mass index before discharge was larger (23.2±4.7 kg/m2 vs. 21.1±4.6 kg/m2, p<0.0001) than those without diabetes. Diabetic patients had higher body weight at admission (63.2±14.9 kg vs. 55.9±13.4 kg, p<0.0001) and before discharge (56.8±13.3 vs. 50.7±12.1 kg, p<0.0001) than non-diabetic patients. Reduction of body weight during hospital stay was higher in diabetic patients (6.4±4.5 kg) than in non-diabetic patients (5.2±4.0 kg) even after correction of body weight discharge or estimated GFR (p<0.001 by ANCOVA). Body weight reduction was significantly associated with HbA1c (p=0.01). There was no difference in use of intravenous diuretics (69.3% vs. 66.6%, p=0.44) and in hospital stay (21.4±15.3 days vs. 19.9±13.7 days, p=0.14) between diabetic- and non-diabetic patients. Whereas no differences were observed in echocardiographic parameters at admission and before discharge between two arms, the diabetic arm showed significantly higher reduction in septal E/e’ ratio during hospital stay (19.0±8.7 to 17.1±7.6) than non-diabetic arm (16.6±8.3 to 16.4±8.2)(p=0.01 by repeated measure ANOVA). Conclusions: The present study implied that diabetic patients with HFpEF have more fluid retention before hospitalization than non-diabetic ones, which could affect the changes in diastolic pressure.

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