2026-06-26T06:50:13Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/52342024-09-27T08:05:01Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605
Repisalud
author
Martin-Sanchez, Francisco Javier
author
Carbajosa, Virginia
author
Llorens, Pere
author
Herrero, Pablo
author
Jacob, Javier
author
Miro, Oscar
author
Fernandez, Cristina
author
Bueno, Hector
author
Calvo, Elpidio
author
Ribera Casado, Jose Manuel
author
Grupo ICA-SEMES
2017-10-30T13:32:25Z
2017-10-30T13:32:25Z
2016
Gac Sanit. 2016; 30(3):191-200
10.1016/j.gaceta.2016.01.003
1578-1283
0213-9111
Gaceta Sanitaria
26900100
http://hdl.handle.net/20.500.12105/5234
Objective: 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/).
spa
Heart failure
Stay length
Admission
EUROPEAN-SOCIETY
OUTCOMES
HOSPITALIZATION
EPIDEMIOLOGY
GUIDELINES
TRENDS
ASSOCIATION
PREDICTORS
CARDIOLOGY
SPAIN
Length of stay in patients admitted for acute heart failure
journal article
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TiempoDeEstanciaProlongado_2016
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778392a64f7d9d50bd1bb127923b0a03
56647
text/plain
TiempoDeEstanciaProlongado_2016.txt