Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Cardiovascular Sciences (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000300189 |
Resumo: | Abstract Background: Heart failure is a highly prevalent disease, responsible for many admissions and high mortality rates in our country. The treatment influences patient's mortality and quality of life. Objective: To identify and compare the clinical and epidemiological survivor's and non-survivor's profiles and treatment of patients hospitalized with heart failure with the international literature. Methods: Cross-sectional, retrospective study of 816 survivors and non-survivors with heart failure. All patients had their clinical and epidemiological, laboratory and echocardiographic data and treatment recorded. Results: Most patients were in functional class III/IV. Mean age was 66.5 ± 13.8 years. Half of the patients were men and 88.3% were Caucasians. In-hospital mortality was 11,2%. Highly mortality was associated with old age, Caucasian ethnicity, high functional class, readmissions, prolonged hospitalization, presence of coronary artery disease, chronic atrial fibrillation, severe mitral regurgitation, restrictive diastolic dysfunction, renal dysfunction, and elevated natriuretic peptide levels, as well as with patients who had pulmonary embolism, acute coronary syndrome, pulmonary infection or required dialysis during hospitalization. The use of angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers at admission was significantly higher among survivors. Conclusion: In-hospital mortality was high when compared to international averages, but it was similar to other Brazilian referral services. Numerous higher severity indicators were observed in the non-survivor group. |
id |
SBC-2_fa8455e5b0ff47e0ef0aa3038cb04192 |
---|---|
oai_identifier_str |
oai:scielo:S2359-56472017000300189 |
network_acronym_str |
SBC-2 |
network_name_str |
International Journal of Cardiovascular Sciences (Online) |
repository_id_str |
|
spelling |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care HospitalHeart Failure / mortalityPrevalenceHospitalizationRestrospective StudiesAbstract Background: Heart failure is a highly prevalent disease, responsible for many admissions and high mortality rates in our country. The treatment influences patient's mortality and quality of life. Objective: To identify and compare the clinical and epidemiological survivor's and non-survivor's profiles and treatment of patients hospitalized with heart failure with the international literature. Methods: Cross-sectional, retrospective study of 816 survivors and non-survivors with heart failure. All patients had their clinical and epidemiological, laboratory and echocardiographic data and treatment recorded. Results: Most patients were in functional class III/IV. Mean age was 66.5 ± 13.8 years. Half of the patients were men and 88.3% were Caucasians. In-hospital mortality was 11,2%. Highly mortality was associated with old age, Caucasian ethnicity, high functional class, readmissions, prolonged hospitalization, presence of coronary artery disease, chronic atrial fibrillation, severe mitral regurgitation, restrictive diastolic dysfunction, renal dysfunction, and elevated natriuretic peptide levels, as well as with patients who had pulmonary embolism, acute coronary syndrome, pulmonary infection or required dialysis during hospitalization. The use of angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers at admission was significantly higher among survivors. Conclusion: In-hospital mortality was high when compared to international averages, but it was similar to other Brazilian referral services. Numerous higher severity indicators were observed in the non-survivor group.Sociedade Brasileira de Cardiologia2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000300189International Journal of Cardiovascular Sciences v.30 n.3 2017reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/2359-4802.20170044info:eu-repo/semantics/openAccessPoffo,Milton RicardoAssis,Amberson Vieira deFracasso,MaíraLondero Filho,Ozir MiguelAlves,Sulyane Matos de MenezesBald,Ana PaulaSchmitt,Camila BussoloAlves Filho,Nilton Rogérioeng2017-07-25T00:00:00Zoai:scielo:S2359-56472017000300189Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2017-07-25T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
title |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
spellingShingle |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital Poffo,Milton Ricardo Heart Failure / mortality Prevalence Hospitalization Restrospective Studies |
title_short |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
title_full |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
title_fullStr |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
title_full_unstemmed |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
title_sort |
Profile of Patients Hospitalized for Heart Failure in Tertiary Care Hospital |
author |
Poffo,Milton Ricardo |
author_facet |
Poffo,Milton Ricardo Assis,Amberson Vieira de Fracasso,Maíra Londero Filho,Ozir Miguel Alves,Sulyane Matos de Menezes Bald,Ana Paula Schmitt,Camila Bussolo Alves Filho,Nilton Rogério |
author_role |
author |
author2 |
Assis,Amberson Vieira de Fracasso,Maíra Londero Filho,Ozir Miguel Alves,Sulyane Matos de Menezes Bald,Ana Paula Schmitt,Camila Bussolo Alves Filho,Nilton Rogério |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Poffo,Milton Ricardo Assis,Amberson Vieira de Fracasso,Maíra Londero Filho,Ozir Miguel Alves,Sulyane Matos de Menezes Bald,Ana Paula Schmitt,Camila Bussolo Alves Filho,Nilton Rogério |
dc.subject.por.fl_str_mv |
Heart Failure / mortality Prevalence Hospitalization Restrospective Studies |
topic |
Heart Failure / mortality Prevalence Hospitalization Restrospective Studies |
description |
Abstract Background: Heart failure is a highly prevalent disease, responsible for many admissions and high mortality rates in our country. The treatment influences patient's mortality and quality of life. Objective: To identify and compare the clinical and epidemiological survivor's and non-survivor's profiles and treatment of patients hospitalized with heart failure with the international literature. Methods: Cross-sectional, retrospective study of 816 survivors and non-survivors with heart failure. All patients had their clinical and epidemiological, laboratory and echocardiographic data and treatment recorded. Results: Most patients were in functional class III/IV. Mean age was 66.5 ± 13.8 years. Half of the patients were men and 88.3% were Caucasians. In-hospital mortality was 11,2%. Highly mortality was associated with old age, Caucasian ethnicity, high functional class, readmissions, prolonged hospitalization, presence of coronary artery disease, chronic atrial fibrillation, severe mitral regurgitation, restrictive diastolic dysfunction, renal dysfunction, and elevated natriuretic peptide levels, as well as with patients who had pulmonary embolism, acute coronary syndrome, pulmonary infection or required dialysis during hospitalization. The use of angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers at admission was significantly higher among survivors. Conclusion: In-hospital mortality was high when compared to international averages, but it was similar to other Brazilian referral services. Numerous higher severity indicators were observed in the non-survivor group. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000300189 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000300189 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/2359-4802.20170044 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
dc.source.none.fl_str_mv |
International Journal of Cardiovascular Sciences v.30 n.3 2017 reponame:International Journal of Cardiovascular Sciences (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
International Journal of Cardiovascular Sciences (Online) |
collection |
International Journal of Cardiovascular Sciences (Online) |
repository.name.fl_str_mv |
International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
tailanerodrigues@cardiol.br||revistaijcs@cardiol.br |
_version_ |
1754732624763420672 |