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Causes and predictors of in-hospital mortality in patients admitted with or for heart failure at a tertiary hospital in Brazil
dc.contributor.author | Wajner, André | pt_BR |
dc.contributor.author | Zuchinali, Priccila | pt_BR |
dc.contributor.author | Olsen, Virgílio da Rocha | pt_BR |
dc.contributor.author | Polanczyk, Carisi Anne | pt_BR |
dc.contributor.author | Rohde, Luis Eduardo Paim | pt_BR |
dc.date.accessioned | 2018-03-23T02:27:24Z | pt_BR |
dc.date.issued | 2017 | pt_BR |
dc.identifier.issn | 0066-782X | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/173840 | pt_BR |
dc.description.abstract | Background: Although heart failure (HF) has high morbidity and mortality, studies in Latin America on causes and predictors of in-hospital mortality are scarce. We also do not know the evolution of patients with compensated HF hospitalized for other reasons. Objective: To identify causes and predictors of in-hospital mortality in patients hospitalized for acute decompensated HF (ADHF), compared to those with HF and admitted to the hospital for non-HF related causes (NDHF). Methods: Historical cohort of patients hospitalized in a public tertiary hospital in Brazil with a diagnosis of HF identified by the Charlson Comorbidity Index (CCI). Results: A total of 2056 patients hospitalized between January 2009 and December 2010 (51% men, median age of 71 years, length of stay of 15 days) were evaluated. There were 17.6% of deaths during hospitalization, of which 58.4% were non-cardiovascular (63.6% NDHF vs 47.4% ADHF, p = 0.004). Infectious causes were responsible for most of the deaths and only 21.6% of the deaths were attributed to HF. The independent predictors of in-hospital mortality were similar between the groups and included: age, length of stay, elevated potassium, clinical comorbidities, and CCI. Renal insufficiency was the most relevant predictor in both groups. Conclusion: Patients hospitalized with HF have high in-hospital mortality, regardless of the primary reason for hospitalization. Few deaths are directly attributed to HF; Age, renal function and levels of serum potassium, length of stay, comorbid burden and CCI were independent predictors of in-hospital death in a Brazilian tertiary hospital. (Arq Bras Cardiol. 2017; 109(4):321-330) | en |
dc.format.mimetype | application/pdf | |
dc.language.iso | por | pt_BR |
dc.relation.ispartof | Arquivos brasileiros de cardiologia. Vol. 109, n. 4 (out. 2017), p. 321-330 | pt_BR |
dc.rights | Open Access | en |
dc.subject | Cardiovascular Diseases | en |
dc.subject | Mortalidade hospitalar | pt_BR |
dc.subject | Insuficiência cardíaca | pt_BR |
dc.subject | Heart Failure | en |
dc.subject | Hospitalização | pt_BR |
dc.subject | Hospital Mortality | en |
dc.subject | Valor preditivo dos testes | pt_BR |
dc.subject | Demographic Aging | en |
dc.subject | Hospitals, Public | en |
dc.subject | Fatores de risco | pt_BR |
dc.subject | Brasil | pt_BR |
dc.title | Causes and predictors of in-hospital mortality in patients admitted with or for heart failure at a tertiary hospital in Brazil | pt_BR |
dc.title.alternative | Causas e preditores de mortalidade intra-hospitalar em pacientes que internam com ou por insuficiência cardíaca em hospital terciário no Brasil | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001059904 | pt_BR |
dc.type.origin | Nacional | pt_BR |
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