20 CONTROLLED BLOOD PRESSURE ON ADMISSION REDUCES IN-HOSPITAL MORTALITY RATE AMONG HEART FAILURE PATIENTS WITH HYPERTENSION AT SAIFUL ANWAR HOSPITAL

Background. Hospital case fatality among those with heart failure in Africa ranges from 9% to 12.5%. An integrated approach to identify those who are at high risk and implementing specific treatment strategies is of great importance for a better outcome. Objective. The aim of this study is to assess the mortality rate and its associated factors among hospitalized heart failure patients at the Jimma University Medical Center (JUMC), south west Ethiopia. Method. A hospital-based retrospective cross-sectional study design was conducted among 252 patients admitted with heart failure during the study period who were sampled and enrolled in to the study. A simple random sampling technique was used to select the study participants by using their medical registration number as the sampling frame. Data were collected using a pretested questionnaire. The collected data were entered into EpiData software and exported to SPSS version 20 for cleaning and analysis. A binary logistic regression model was used. Adjusted and crude odds ratio with 95% CI were used. A P value less than 0.05 was used to declare statistical significance. Results. The prevalence of in-hospital mortality was found to be 21.29%. Cardiogenic shock AOR: 0.016 (95% CI: 0.001–0.267), complication at admission AOR: 5.25 (95% CI: 1.28–21.6), and ejection fraction (<30) AOR: 0.112 (95% CI: 0.022–0.562) were found to be significantly associated factors. Conclusion. The in-hospital mortality rate among admitted heart failure patients is unacceptably high. Due emphasis should be given on the identified associated factors to reduce the mortality.

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Care Pathways of Acute Heart Failure Patients: Impact on In-hospital Mortality.

Case Medical Research ◽

10.31525/ct1-nct03903198 ◽

2019 ◽

Author(s):

Keyword(s):

Heart Failure ◽

Hospital Mortality ◽

Acute Heart Failure ◽

Care Pathways ◽

Heart Failure Patients

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Trends in hospitalization and in-hospital mortality of patients with heart failure in Spain. A population-based study (2003–2015)

European Heart Journal ◽

10.1093/ehjci/ehaa946.1187 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

J.L Bonilla Palomas ◽

M.P Anguita-Sanchez ◽

F.J Elola ◽

J.L Bernal ◽

C Fernandez-Perez ◽

...

Keyword(s):

Heart Failure ◽

Mortality Rate ◽

Hospital Mortality ◽

National Health System ◽

Admission Rate ◽

Population Data ◽

Principal Diagnosis ◽

Data Set ◽

Discharge Rates ◽

Mortality Ratio

Abstract Background Heart failure (HF) is one of the most pressing current public health concerns. However, in Spain there is a lack of population data. Purpose To investigate trends in HF hospitalization and in-hospital mortality rates. Methods We conducted a retrospective observational study of patients discharged with the principal diagnosis of HF from The National Health System' acute hospitals during 2003–2015. The source of the data was the Minimum Basic Data Set of the Ministry of Health, Consumer and Social Welfare. We analyzed trends in hospital discharge rates for HF (discharge rates were weighted by age and gender) an in-hospital mortality. The risk-standardized in-hospital mortality ratio (RSMR) was defined as the ratio between predicted mortality (which individually considers the performance of the hospital where the patient is attended) and expected mortality (which considers a standard performance according to the average of all hospitals) multiplied by the crude rate of mortality. RSMR was calculated using a risk adjustment multilevel logistic regression models developed by the Medicare and Medicaid Services. Temporal trend during the observed period was modelled using Poisson regression analysis with year as the only independent variable. In this model, the incidence rate ratio (IRR) and their 95% confidence intervals (95% CI) was calculated. Results A total of 1 254 830 episodes of HF were selected. Throughout 2003–2015 the number of hospital discharges with principal diagnosis of HF increased by 61% (IRR: 1.04; CI: 1.03–1.04; p<0.001), meanwhile the crude mortality rate and the mean length of stay (LOS) diminished significantly (IRR: 0.99; CI: 0.98–1; and IRR: 1.04; CI: 0.99–0.99; p<0.001, for both). Discharge rates weighted by age and sex showed a statistically significant increase during the period (IRR: 1.03; CI: 1.03–1.03; p<0.001); however, whereas discharge rates increased significantly in older groups of age (≥75 years old) (IRR: 1–1.02; p<0.001) they diminished in younger groups of age (45–74 years old) (IRR: 0.99; p<0.001 and there was not a significant trend in the discharge rates for the group of 35–44 years old (Figure). The risk-standardized in-hospital mortality ratio did not significantly change throughout 2003–2015 (IRR: 0.997; CI: 0.992–1; p=0.32), however the risk-standardized LOS ratio diminished from 1.07 in 2003 to 0.97 in 2015 (IRR: 0.98: IC: 0.98–0.99; p<0.001). Conclusions From 2003 to 2015, HF admission rate increased significantly in Spain as a consequence of the sustained increase of hospitalization in the population over 75. The crude in-hospital mortality rate diminished significantly for the same period, but the risk-standardized in-hospital mortality ratio did not significantly change. Figure 1 Funding Acknowledgement Type of funding source: None

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Increased visit-to-visit blood pressure variability is associated with worse cardiovascular outcomes in low ejection fraction heart failure patients: Insights from the HEAAL study

International Journal of Cardiology ◽

10.1016/j.ijcard.2015.03.169 ◽

2015 ◽

Vol 187 ◽

pp. 183-189 ◽

Cited By ~ 16

Author(s):

P. Rossignol ◽

N. Girerd ◽

D. Gregory ◽

J. Massaro ◽

M.A. Konstam ◽

...

Keyword(s):

Heart Failure ◽

Blood Pressure ◽

Ejection Fraction ◽

Blood Pressure Variability ◽

Cardiovascular Outcomes ◽

Heart Failure Patients ◽

Low Ejection Fraction

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What Is the Ideal Blood Pressure Goal for Heart Failure Patients?

JACC Heart Failure ◽

10.1016/j.jchf.2018.07.003 ◽

2018 ◽

Vol 6 (10) ◽

pp. 889-890

Author(s):

Mostafa Ghanim ◽

Maxwell Eyram Afari ◽

Lana Tsao

Keyword(s):

Heart Failure ◽

Blood Pressure ◽

Blood Pressure Goal ◽

Heart Failure Patients ◽

The Ideal

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P4381Predictors of in-hospital mortality among hospitalised adult heart failure patients in the Philippines

European Heart Journal ◽

10.1093/eurheartj/ehx504.p4381 ◽

2017 ◽

Vol 38 (suppl_1) ◽

Author(s):

R.B. Natividad ◽

B.A. Tumanan-Mendoza ◽

F.E.R. Punzalan ◽

N.S. Pestano ◽

V.L. Mendoza ◽

...

Keyword(s):

Heart Failure ◽

Hospital Mortality ◽

The Philippines ◽

Adult Heart ◽

Heart Failure Patients

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Abstract 17132: Atrial Fibrillation Ablation in Heart Failure: Temporal Trends and Outcomes in Hospitalized Patients

Circulation ◽

10.1161/circ.138.suppl_1.17132 ◽

2018 ◽

Vol 138 (Suppl_1) ◽

Author(s):

Manyoo Agarwal ◽

Brijesh Patel ◽

Lohit Garg ◽

Mahek Shah ◽

Rami Khouzam ◽

...

Keyword(s):

Heart Failure ◽

Atrial Fibrillation ◽

Catheter Ablation ◽

Mortality Rate ◽

Hospital Mortality ◽

Temporal Trends ◽

Complication Rates ◽

Af Ablation ◽

Southern Us ◽

Comorbidity Burden

Introduction: Recent studies have shown catheter ablation for atrial fibrillation (AF) in patients with heart failure (HF) to have better outcomes over medical therapy. While AF ablation is predominantly an outpatient procedure, some patients may require longer hospitalization. Limited literature exists describing the trends of hospitalizations for HF patients undergoing AF ablation. Methods: Using ICD-9 (diagnosis and procedure codes) in nationwide inpatient sample database 2003 to 2014, we identified all HF adults who were admitted with a principal diagnosis code of AF (427.31) (n= 4,670,400) (AF-HF). Among these, we identified those with a principal procedure code of catheter ablation (37.34) and studied the temporal trends of clinical characteristics and outcomes (in-hospital mortality and complications) for this cohort (Table). Results: The overall number of AF-HF patients undergoing AF ablation was 62,653; with an increase from 1,928 in 2003 to 6,860 in 2014 (p trend<0.001). As shown in Table, over this 12-year period; mean age and proportion of females decreased, while there was an increase in blacks, clinical comorbidity burden, admissions to teaching hospitals and southern US region (all p trend<0.001). The overall procedure related complications (vascular, cardiac, respiratory, neurologic) increased, the in-hospital mortality rate decreased from 1.7% to 0.5% (all p trend<0.001). Conclusions: During 2003-2014, the annual incidence of AF ablation related hospitalizations in HF patients increased significantly. Despite increase in clinical comorbidities burden and procedural complication rates, the mortality rate declined.

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