In-hospital Mortality and Readmissions for Heart Failure in Spain. A Study of Index Episodes and 30-Day and 1-year Cardiac Readmissions

Santos, Paula Martínez; Freire, Ramón Bover; Esteban‐Fernández, Alberto; Sobrino, José Luis Bernal; Fernández-Pérez, Cristina; Somoza, Francisco Javier Elola; Miguel, Carlos Macaya; Vilacosta, Isidre

doi:10.1016/j.rec.2019.02.004

Cited by 15 publications

(14 citation statements)

References 28 publications

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“…In a Spanish study including 77 652 patients admitted with acute HF, the hospital-level aspects associated with lower in-hospital mortality were larger hospital size and the availability of a cardiology service. 29…”

Section: Quality Of Carementioning

confidence: 99%

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Tsao¹,

Aday²,

Almarzooq³

et al. 2022

Circulation

3,787

2,336

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Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2022 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population and an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, and the global burden of cardiovascular disease and healthy life expectancy. Results: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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Section: Quality Of Carementioning

confidence: 99%

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Tsao¹,

Aday²,

Almarzooq³

et al. 2022

Circulation

3,787

2,336

View full text Add to dashboard Cite

show abstract

“…El reingreso hospitalario fue de 21,2% en esta cohorte, el cual es similar al reportado por RECOLFACA (21). En países europeos y Australia el reingreso hospitalario se ha informado en un 32% en pacientes con FC (31)(32). En el registro OPTIMIZE -HF en EE.…”

Section: Discussionunclassified

Factores asociados a mortalidad intrahospitalaria en falla cardiaca aguda

López-Morales¹,

Rada-Rada

Conta-López³

et al. 2022

Revista Investig. Salud Univ. Boyacá

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Introducción: La falla cardiaca es una enfermedad de alta prevalencia mundial y de gran interés para la salud pública. En Colombia constituye una de las principales causas de mortalidad de origen cardiovascular, por lo cual, es importante determinar los factores de riesgo asociados a la mortalidad intrahospitalaria en estos pacientes. Materiales y métodos: Estudio de cohorte retrospectiva que incluyó a 260 pacientes con diagnóstico de Falla Cardiaca Aguda atendidos en el Hospital Universitario San Rafael de Tunja entre enero del 2019 hasta enero del 2022. Sé realizó un análisis univariado y bivariado calculando HR y el valor p respectivo, con lo cual se construyó un modelo de regresión de Cox para determinar los factores asociados a mortalidad intrahospitalaria, y como desenlaces secundarios se determinó la incidencia de mortalidad intrahospitalaria a 10 días, el reingreso y el tiempo de estancia hospitalaria. Resultados: La incidencia de mortalidad intrahospitalaria a los 10 días fue del 10%, el reingreso hospitalario se presentó en el 21,2% de los pacientes, la media de estancia hospitalaria fue de 9,31 días, los factores de riesgo para mortalidad intrahospitalaria estadísticamente significativos fueron la clasificación clínica de Stevenson C o L [HR 3,2 IC 1,12;9,39 p = 0,03] y la clase funcional del paciente a su ingreso NYHA III o IV [HR 2,76 1,02;7,53 p=0,04]. Conclusiones: La clasificación clínica de Stevenson C o L y la clase funcional según NYHA III o IV demostraron ser factores de riesgo independientes de mortalidad intrahospitalaria, se sugiere identificar tempranamente a estos pacientes ya que podría asegurar una mayor supervivencia.

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“…In our report, in‐hospital mortality during the HF hospitalization was relatively high (~14%) in Poland during 2010–2019. It might be assessed in the context of data from Spain collected almost 10 years ago (2003–2013), where inpatient mortality was estimated at 9% 26,27 . It should be remembered, that during recent decades the clinical profile of patients has significantly changed.…”

Section: Discussionmentioning

confidence: 99%

“…Available few studies have focused mainly on prevalence, incidence, and survival in HF 12,13 . Those describing HF hospitalization rates and/or in‐hospital mortality are already outdated or consider small groups of patients with HF 14,15,18,26–29 . Such an example could be an analysis performed by Omersa et al .…”

Section: Discussionmentioning

confidence: 99%

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

et al. 2020

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Aims Heart failure (HF) remains a major public health challenge worldwide. Contemporary epidemiological data on HF hospitalization rates and related in-hospital mortality are scarce also in Poland. The aim of the study was to determine the trends in hospitalization rates due to HF and related in-hospital mortality in Poland in the recent decade. Methods and results Data on HF hospitalizations and in-hospital mortality in patients aged >17 years in Poland between 2010 and 2019 were obtained from the central database of the Polish National Health Fund. Hospitalizations with either primary or secondary diagnosis of HF were identified using the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes (I50, I42, J81 with extensions, and R57.0). There were 4 259 698 HF hospitalizations and 608 577 in-hospital deaths (14% in-hospital mortality) reported during 2010-2019 in Poland. During this period, there was a steady increase in the number of HF hospitalizations per 1000 inhabitants in subsequent years, being more pronounced in men than in women (in 2019: 16 and 13 HF hospitalizations per 1000 inhabitants in men and women, respectively). The relative risk of HF hospitalization was higher in men than in women, and this gender-related difference steadily increased from 9% in 2010 to 25% in 2019. During 2010-2019, there was an increase in the number of HF hospitalizations per 1000 inhabitants in subsequent age groups, with a trend being more pronounced in men than in women (129 and 99 HF hospitalizations per 1000 inhabitants in men and women aged ≥80 years, respectively). During this period, there was a slight increase in in-hospital mortality during HF hospitalization in subsequent years, being more pronounced in women than in men (in 2019: 16% and 14% of in-hospital mortality in women and men, respectively). The relative risk of in-hospital mortality during HF hospitalization was higher in women than in men, and this gender-related difference steadily increased from 8% in 2010 to 18% in 2019. During this period, in-hospital mortality during HF hospitalization was~12% for women and men aged 18-29 years, whereas the highest values of in-hospital mortality reached~19% for patients aged ≥80 years. Conclusions We have observed steady growing trends in HF hospitalization rates and related in-hospital mortality in Poland over the last decade. Both age and gender have differentiated the reported epidemiological patterns.

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In-hospital Mortality and Readmissions for Heart Failure in Spain. A Study of Index Episodes and 30-Day and 1-year Cardiac Readmissions

Cited by 15 publications

References 28 publications

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Factores asociados a mortalidad intrahospitalaria en falla cardiaca aguda

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

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