539 Clinical prognostic markers of survival in patients with cardiogenic pulmonary oedema

Fiutowski, Marcin; Waszyrowski, Tomasz; Krzemińska‐Pakuła, Maria; Kasprzak, Jarosław D.

doi:10.1016/s1567-4215(03)90345-6

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“…Similarly, a study conducted in the tertiary center in Addis Ababa, Ethiopia, 10 also showed that CRVHD was the most common cause of AHF and cardiogenic pulmonary edema. On the contrary, the study done in Spain, 19 the Netherlands, 20 and Poland 21 showed that IHD was the most common cause. This discrepancy was due to poor health-care access and poor living standards resulting in exposure to group A streptococcus, which resulted in high prevalence of rheumatic heart disease in developing countries, Ethiopia.…”

Section: Discussionmentioning

confidence: 90%

The Burden and Contributing Factors of Cardiogenic Pulmonary Edema Among Acute Heart Failure Patients Admitted to Tertiary Hospital, Eastern Ethiopia

Degefu,

Jambo,

Nigusse

et al. 2023

OAEM

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Background Despite cardiogenic pulmonary edema is the most common phenotype of acute heart failure (AHF), studies on its burden and associated factors are limited. This study aimed to assess the burden and contributing factors of cardiogenic pulmonary edema in patients with acute heart failure admitted to a tertiary hospital in eastern Ethiopia. Patients and Methods An institution-based cross-sectional study was conducted on the medical records (n = 276) of patients with AHF between February 01, 2018, and January 31, 2023. A simple random sampling technique was used to select participants from the study population. Bivariable and multivariable logistic regression analyses were used to assess factors associated with the development of cardiogenic pulmonary edema. A P-value ≤0.05 was considered as statistically significant. Results The prevalence of cardiogenic pulmonary edema was 47.8% in AHF patients. Rural residence (adjusted odds ratio (AOR),9.54), smoking (AOR,3.17), comorbidity (AOR,2.1), and underlying cardiovascular disease (ischemic heart disease, chronic rheumatic valvular heart disease, and hypertensive heart disease with AOR: 6.71, 8.47, and 12.07, respectively) were significantly associated with the development of cardiogenic pulmonary edema in patients with AHF. Conclusion Nearly half of the patients with AHF had cardiogenic pulmonary edema. Being a rural dweller, cigarette smoking, comorbidities, and underlying cardiac illness were significantly associated with the development of cardiogenic pulmonary edema in patients with AHF.

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Section: Discussionmentioning

confidence: 90%