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Predictors and associations with outcomes of length of hospital stay in patients with acute heart failure: Results from VERITAS
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.
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.
Author
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.
Teerlink, John R.
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.
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
Date
2016
Type
Journal article
Journal
Journal of Cardiac Failure
Book
Volume
22
Issue
10
Page Range
815-822
Article Number
ACU Department
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Event URL
Open Access Status
License
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Controlled