Interv Akut Kardiol. 2022;21(2):79-83 | DOI: 10.36290/kar.2022.013

Effect of precipitating factors and signs of acute heart failure on length of hospital stay

Jiří Dokoupil1, Juraj Hrečko1, Eva Čermáková2, Radek Pudil1
1 1st Department of Internal Medicine - Cardioangiology, Charles University, Faculty of Medicine and University Hospital in Hradec Králové
2 Department of Medical Biophysics, Faculty of Medicine in Hradec Králové, Charles University

Aim: We aimed to assess the impact of precipitating factors and signs of acute heart failure on the length of hospital stay according to the ejection fraction (EF) subgroups.

Methods: We conducted a retrospective study among acute heart failure patients hospitalized at the Department of Cardioangiology in 2017. The most frequent precipitants and signs were included in the multivariate analysis to assess their association with the length of hospital stay.

Results: We included 376 patients with a median length of hospital stay 11 days. There were 198, 58, and 120 patients with reduced, mildly reduced, and preserved EF, respectively. In reduced EF, peripheral swelling (OR 1.97, CI 1.02–3.78) and pulmonary congestion (OR 2.72, CI 1.38–5.34) were associated with a longer hospital stay. Non­‑pulmonary infection (OR 50.57, CI 2.82–906.84) and heart failure progression (OR 15.33, CI 1.25–188.53) were associated with a longer hospital stay in mildly reduced EF, and acute pulmonary disease was associated with a longer hospital stay in patients with mildly reduced (OR 10.77, CI 1.07–108.81) and preserved (OR 3.96, CI 1.05–14.99) EF.

Conclusion: Precipitating factors and signs of acute heart failure have different impacts on the length of hospital stay among patients with reduced, mildly reduced or preserved EF.

Keywords: acute heart failure, epidemiology, length of hospital stay, precipitating factors, signs of heart failure

Accepted: March 24, 2022; Prepublished online: March 24, 2022; Published: April 28, 2022  Show citation

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Dokoupil J, Hrečko J, Čermáková E, Pudil R. Effect of precipitating factors and signs of acute heart failure on length of hospital stay. Interv Akut Kardiol. 2022;21(2):79-83. doi: 10.36290/kar.2022.013.
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