Predictors and associations with outcomes of length of hospital stay in patients with acute heart failure: Results from VERITAS
Journal article
Cotter, Gad, Davison, Beth A., Milo, Olga, Bourge, Robert C., Cleland, John G. F., Jondeau, Guillaume, Krum, Henry, O'Connor, Christopher M., Metra, Marco, Parker, John D., Torre-Amione, Guillermo, van Veldhuisen, Dirk J., Kobrin, Isaac, Rainisio, Maurizio, Senger, Stefanie, Edwards, Christopher, McMurray, John J. V. and Teerlink, John R.. (2016). Predictors and associations with outcomes of length of hospital stay in patients with acute heart failure: Results from VERITAS. Journal of Cardiac Failure. 22(10), pp. 815 - 822. https://doi.org/10.1016/j.cardfail.2015.12.017
Authors | Cotter, Gad, Davison, Beth A., Milo, Olga, Bourge, Robert C., Cleland, John G. F., Jondeau, Guillaume, Krum, Henry, O'Connor, Christopher M., Metra, Marco, Parker, John D., Torre-Amione, Guillermo, van Veldhuisen, Dirk J., Kobrin, Isaac, Rainisio, Maurizio, Senger, Stefanie, Edwards, Christopher, McMurray, John J. V. and Teerlink, John R. |
---|---|
Abstract | Background: The length of hospital stay (LOS) is important in patients admitted for acute heart failure (AHF) because it prolongs an unpleasant experience for the patients and adds substantially to health care costs. Methods and Results: We examined the association between LOS and baseline characteristics, 10-day post-discharge HF readmission, and 90-day post-discharge mortality in 1347 patients with AHF enrolled in the VERITAS program. Longer LOS was associated with greater HF severity and disease burden at baseline; however, most of the variability of LOS could not be explained by these factors. LOS was associated with a higher HF risk of both HF readmission (odds ratio for 1-day increase: 1.08; 95% confidence interval [CI] 1.01–1.16; P = .019) and 90-day mortality (hazard ratio for 1-day increase: 1.05; 95% CI 1.02–1.07; P < .001), although these associations are partially explained by concurrent end-organ damage and worsening heart failure during the first days of admission. Conclusions: In patients who have been admitted for AHF, longer length of hospital stay is associated with a higher rate of short-term mortality. |
Keywords | heart failure; length of stay; prognosis |
Year | 2016 |
Journal | Journal of Cardiac Failure |
Journal citation | 22 (10), pp. 815 - 822 |
Publisher | Churchill Livingstone Inc. |
ISSN | 1071-9164 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.cardfail.2015.12.017 |
Scopus EID | 2-s2.0-84956621619 |
Page range | 815 - 822 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/8q065/predictors-and-associations-with-outcomes-of-length-of-hospital-stay-in-patients-with-acute-heart-failure-results-from-veritas
Restricted files
Publisher's version
158
total views0
total downloads7
views this month0
downloads this month