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dc.contributor.authorMartin-Sanchez, Francisco Javier
dc.contributor.authorCarbajosa, Virginia
dc.contributor.authorLlorens, Pere
dc.contributor.authorHerrero, Pablo
dc.contributor.authorJacob, Javier
dc.contributor.authorMiro, Oscar
dc.contributor.authorFernandez, Cristina
dc.contributor.authorBueno, Hector 
dc.contributor.authorCalvo, Elpidio
dc.contributor.authorRibera Casado, Jose Manuel
dc.contributor.authorGrupo ICA-SEMES
dc.date.accessioned2017-10-30T13:32:25Z
dc.date.available2017-10-30T13:32:25Z
dc.date.issued2016
dc.identifierISI:000376333300006
dc.identifier.citationGac Sanit. 2016; 30(3):191-200
dc.identifier.issn0213-9111
dc.identifier.urihttp://hdl.handle.net/20.500.12105/5234
dc.description.abstractObjective: To identify the factors associated with prolonged length of hospital stay in patients admitted for acute heart failure. Methods: Multipurpose observational cohort study including patients from the EAHFE registry admitted for acute heart failure in 25 Spanish hospitals. Data were collected on demographic and clinical variables and on the day and place of admission. The primary outcome was length of hospital stay longer than the median. Results: We included 2,400 patients with a mean age of 79.5 (9.9) years; of these, 1,334 (55.6\%) were women. Five hundred and ninety (24.6\%) were admitted to the short stay unit (SSU), 606 (25.2\%) to cardiology, and 1,204 (50.2\%) to internal medicine or gerontology. The mean length of hospital stay was 7.0 (RIC 4-11) days. Fifty-eight (2.4\%) patients died and 562 (23.9\%) were readmitted within 30 days after discharge. The factors associated with prolonged length of hospital stay were chronic pulmonary disease; being a device carrier; having an unknown or uncommon triggering factor; the presence of renal insufficiency, hyponatremia and anaemia in the emergency department; not being admitted to an SSU or the lack of this facility in the hospital; and being admitted on Monday, Tuesday or Wednesday. The factors associated with length of hospital stay <= 7days were hypertension, having a hypertensive episode, or a lack of treatment adherence. The area under the curve of the mixed model adjusted to the center was 0.78 (95\% CI: 0.76-0.80; p < 0.001). Conclusions: A series of factors is associated with prolonged length of hospital stay and should be taken into account in the management of acute heart failure. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.language.isospa
dc.publisherElsevier 
dc.type.hasVersionVoR
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectHeart failure
dc.subjectStay length
dc.subjectAdmission
dc.subjectEUROPEAN-SOCIETY
dc.subjectOUTCOMES
dc.subjectHOSPITALIZATION
dc.subjectEPIDEMIOLOGY
dc.subjectGUIDELINES
dc.subjectTRENDS
dc.subjectASSOCIATION
dc.subjectPREDICTORS
dc.subjectCARDIOLOGY
dc.subjectSPAIN
dc.titleLength of stay in patients admitted for acute heart failure
dc.typejournal article
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID26900100
dc.format.volume30
dc.format.page191-200
dc.identifier.doi10.1016/j.gaceta.2016.01.003
dc.description.peerreviewed
dc.identifier.e-issn1578-1283
dc.relation.publisherversionhttps://doi.org/10.1016/j.gaceta.2016.01.003
dc.identifier.journalGaceta Sanitaria
dc.repisalud.orgCNICCNIC::Grupos de investigación::Investigación Cardiovascular Traslacional Multidisciplinaria
dc.repisalud.institucionCNIC
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
This item is licensed under a: Attribution-NonCommercial-NoDerivatives 4.0 Internacional