Factores de riesgo asociados a estancia hospitalaria prolongada en pacientes con falla cardiaca aguda / Risk factors associated with prolonged hospital stay in patients with acute heart failure
Rev. colomb. cardiol
;
28(2): 113-118, mar.-abr. 2021. tab
Article
in Spanish
| LILACS, COLNAL
| ID: biblio-1341272
RESUMEN
Resumen Introducción:
La falla cardiaca aguda es un motivo frecuente de consulta a urgencias, genera estancias hospitalarias prolongadas y altos costos para el sistema de salud.Objetivo:
Determinar los factores asociados a estancia hospitalaria prolongada en pacientes hospitalizados por falla cardiaca aguda en un hospital universitario.Métodos:
Estudio de cohorte retrospectivo, se incluyeron pacientes adultos con falla cardiaca aguda. Se obtuvieron variables demográficas, comorbilidades y resultados de laboratorios de rutina. Se definió hospitalización prolongada, como una estancia mayor a 5 y 10 días respectivamente.Resultados:
Un total de 776 pacientes fueron incluidos en el análisis, 56% eran hombres, el promedio de edad fue de 71.5 años, fracción de eyección de 39.8%. Los factores asociados con estancia hospitalaria prolongada fueron edad, elevación de troponina, hiperglucemia y albúmina < 3 g/dl. Para el corte de 10 días adicionalmente se identificaron presión arterial sistólica, frecuencia cardiaca y elevación de péptidos natriuréticos.Conclusiones:
La evaluación integral de variables clínicas y resultados de laboratorio es útil para identificar pacientes con mayor riesgo de estancias hospitalarias prolongadas.ABSTRACT
Abstract 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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Hospital Care
/
Heart Failure
Type of study:
Etiology study
/
Health economic evaluation
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Animals
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. colomb. cardiol
Journal subject:
Cardiology
Year:
2021
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Hospital Universitario San Ignacio/CO
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