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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
ARBELAEZ-COLLAZOS, Lina et al. Risk factors associated with prolonged hospital stay in patients with acute heart failure. Rev. Colomb. Cardiol. [online]. 2021, vol.28, n.2, pp.113-118. Epub June 10, 2021. ISSN 0120-5633. https://doi.org/10.24875/rccar.m21000022.
Introduction:
Acute heart failure is a frequent reason for consulting to emergency department, it generates long hospital stays and high costs for the health system.
Objective:
To determine the associated factors with prolonged hospital stay in patients hospitalized for acute heart failure in a teaching hospital.
Methods:
Retrospective cohort study, adult patients with acute heart failure were included. Demographic variables, comorbidities, and routine laboratory results were obtained. Prolonged hospitalization was defined as a stay greater than 5 and 10 days, respectively.
Results:
A total of 776 patients were included in the analysis, 56% were men, the mean age was 71.5 years, and ejection fraction was 39.8%. Factors associated with prolonged hospital stay were: age, elevated troponin, hyperglycemia, and albumin < 3 g/dl. For the 10-day cut-off, additionally, systolic blood pressure, heart rate and elevation of natriuretic peptides were identified.
Conclusions:
Comprehensive evaluation of clinical variables and laboratory results is useful to identify patients at increased risk for prolonged hospital stays.
Keywords : Heart failure; Hospital stay; Risk.