Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients

Detalhes bibliográficos
Autor(a) principal: Darze, Eduardo Sahade
Data de Publicação: 2007
Outros Autores: Braga, Adriana Lopes Latado, Guimarães, Aloyra G., Guedes, Rodrigo A. V., Santos, Alessandra B., Moura, Simone S. de, Passos, Luiz Carlos Santana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5249
Resumo: p. 1838–1843
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spelling Darze, Eduardo SahadeBraga, Adriana Lopes LatadoGuimarães, Aloyra G.Guedes, Rodrigo A. V.Santos, Alessandra B.Moura, Simone S. dePassos, Luiz Carlos SantanaDarze, Eduardo SahadeBraga, Adriana Lopes LatadoGuimarães, Aloyra G.Guedes, Rodrigo A. V.Santos, Alessandra B.Moura, Simone S. dePassos, Luiz Carlos Santana2012-01-25T16:48:05Z2012-01-25T16:48:05Z2007-061931-3543http://www.repositorio.ufba.br/ri/handle/ri/5249v. 131, n. 6.p. 1838–1843Background: Congestive heart failure (CHF) is a well-recognized risk factor for venous thromboembolism (VTE) and is associated with higher mortality in patients with an acute pulmonary embolism (PE). There are very few data on how acute PE affects the clinical course of patients with heart failure. The purpose of this study was to determine the impact of an acute PE on the short-term prognosis of patients hospitalized for decompensated CHF. Methods: This was a prospective cohort study of 198 patients admitted to a coronary care unit between July 2001 and March 2003 with severe decompensated CHF. The primary outcome measure was death or rehospitalization at 3 months. Results: PE was confirmed in 18 of 198 patients enrolled (9.1%). The groups with and without PE were comparable with regards to demographics, the prevalence of comorbid conditions, and severity of CHF (p > 0.05). The prevalence of cancer (p 0.0001), previous VTE (p 0.003), and right ventricular overload (p 0.006) was higher in the PE group. The presence of PE was also associated with a longer hospital stay (37.5 71.6 days vs 15.4 15.0 days, p 0.001) [mean SD] and a higher incidence of death or rehospitalization at 3 months (72.2% vs 43.9%, p 0.02). In a multiple logistic regression analysis, PE remained an independent predictor of death or rehospitalization at 3 months (odds ratio, 4.0; 95% confidence interval, 1.1 to 15.1; p 0.038). Conclusions: Acute PE commonly complicates the hospital course of patients with severe CHF, increasing the length of hospital stay and the chance of death or rehospitalization at 3 months.Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2012-01-25T16:48:05Z No. of bitstreams: 1 1838.full.pdf: 104672 bytes, checksum: 327946cd0c244f0a5e0adf7d39385a0e (MD5)Made available in DSpace on 2012-01-25T16:48:05Z (GMT). No. of bitstreams: 1 1838.full.pdf: 104672 bytes, checksum: 327946cd0c244f0a5e0adf7d39385a0e (MD5) Previous issue date: 2007-06congestive heart failureICUmortalitypulmonary embolismAcute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure PatientsCHESTinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINAL1838.full.pdf1838.full.pdfapplication/pdf104672https://repositorio.ufba.br/bitstream/ri/5249/1/1838.full.pdf327946cd0c244f0a5e0adf7d39385a0eMD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5249/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT1838.full.pdf.txt1838.full.pdf.txtExtracted texttext/plain25495https://repositorio.ufba.br/bitstream/ri/5249/3/1838.full.pdf.txt67cfe3890972f1fc4d88b6a94f004f52MD53ri/52492022-07-05 14:03:14.84oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:14Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
dc.title.alternative.pt_BR.fl_str_mv CHEST
title Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
spellingShingle Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
Darze, Eduardo Sahade
congestive heart failure
ICU
mortality
pulmonary embolism
title_short Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
title_full Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
title_fullStr Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
title_full_unstemmed Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
title_sort Acute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
author Darze, Eduardo Sahade
author_facet Darze, Eduardo Sahade
Braga, Adriana Lopes Latado
Guimarães, Aloyra G.
Guedes, Rodrigo A. V.
Santos, Alessandra B.
Moura, Simone S. de
Passos, Luiz Carlos Santana
author_role author
author2 Braga, Adriana Lopes Latado
Guimarães, Aloyra G.
Guedes, Rodrigo A. V.
Santos, Alessandra B.
Moura, Simone S. de
Passos, Luiz Carlos Santana
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Darze, Eduardo Sahade
Braga, Adriana Lopes Latado
Guimarães, Aloyra G.
Guedes, Rodrigo A. V.
Santos, Alessandra B.
Moura, Simone S. de
Passos, Luiz Carlos Santana
Darze, Eduardo Sahade
Braga, Adriana Lopes Latado
Guimarães, Aloyra G.
Guedes, Rodrigo A. V.
Santos, Alessandra B.
Moura, Simone S. de
Passos, Luiz Carlos Santana
dc.subject.por.fl_str_mv congestive heart failure
ICU
mortality
pulmonary embolism
topic congestive heart failure
ICU
mortality
pulmonary embolism
description p. 1838–1843
publishDate 2007
dc.date.issued.fl_str_mv 2007-06
dc.date.accessioned.fl_str_mv 2012-01-25T16:48:05Z
dc.date.available.fl_str_mv 2012-01-25T16:48:05Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5249
dc.identifier.issn.none.fl_str_mv 1931-3543
dc.identifier.number.pt_BR.fl_str_mv v. 131, n. 6.
identifier_str_mv 1931-3543
v. 131, n. 6.
url http://www.repositorio.ufba.br/ri/handle/ri/5249
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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