Predictive factors for longer length of hospital stay in patients with heart failure

Öncel, Can Ramazan

doi:10.14744/anatoljcardiol.2018.77270

Cited by 1 publication

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References 5 publications

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“…Investigations suggest that hospital length of stay (LOS) may be a valuable predictor of outcomes for patients hospitalized for ADHF, including rates of early readmission and mortality. On the other hand, other factors, including peripheral edema, chest pain, elevated jugular venous pressure, increased weight during hospitalization, anemia, renal insufciency, and diuretic dose at admission, as well as some laboratory parameters such as serum albumin, sodium, creatinine, and cardiac troponin level are reported to be associated with longer LOS in patients with ADHF [7][8][9][10]. Accordingly, the infammatory status and severity of congestion at admission have been reported to be key factors in predicting the LOS in ADHF [11].…”

Section: Introductionmentioning

confidence: 99%

Association between the Length of Hospital Stay and 30-Day Outcomes in Patients Admitted with Acute Decompensated Heart Failure

Namvar

Fakhrolmobasheri

Mazaheri‐Tehrani

et al. 2023

Emergency Medicine International

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Background and Aim. Regarding patients admitted with acute decompensated heart failure (ADHF), there are inconsistent reports surrounding the association between length of stay (LOS) and mortality or rehospitalization following discharge. This study evaluates the association between LOS and 30-day outcomes after discharge in patients admitted with ADHF. Method. This study is performed in the context of the Persian Registry of Cardiovascular Disease/Heart Failure (PROVE/HF). We included all patients admitted with ADHF regardless of the etiology of heart failure (HF). LOS was classified in tertiles (<4 days, >4 and <6 days, and >6 days). Our outcomes were 30-day all-cause mortality and rehospitalization. Baseline characteristics and outcomes are reported according to the tertiles of LOS. A binary logistic regression and cox regression analysis were performed to evaluate the association between LOS and rehospitalization and death, respectively. Results. Between April 2019 and March 2020, 385 patients with ADHF were registered in our study. The mean length of hospitalization was 6.35 ± 5.46 days, varying from a minimum of 0 days to a maximum of 47 days. One hundred patients had a hospital stay lower than 4 days; 151 individuals had an intermediate LOS (4–6 days); and 134 were hospitalized for more than 6 days. Our analysis indicated no association between LOS and 30-day rehospitalization and death in multivariable or univariable models. Conclusion. This study found no association between LOS and rehospitalization or death in patients admitted with ADHF; however, further investigations are warranted.

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