Tiempo de estancia prolongado en los pacientes ingresados
por insuficiencia cardiaca aguda

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RECERCAT Home > Universitat de Barcelona > IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer > Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) > View document

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dc.contributor.author	Martín Sánchez, Francisco Javier
dc.contributor.author	Carbajosa, Virginia
dc.contributor.author	Llorens Soriano, Pere
dc.contributor.author	Herrero, Pablo
dc.contributor.author	Jacob, Javier
dc.contributor.author	Miró i Andreu, Òscar
dc.contributor.author	Fernández Pérez, Cristina
dc.contributor.author	Bueno, Héctor
dc.contributor.author	Calvo, Elpidio
dc.contributor.author	Ribera Casado, José Manuel
dc.date	2018-12-10T14:00:42Z
dc.date	2018-12-10T14:00:42Z
dc.date	2016-05-01
dc.date	2018-07-25T07:49:15Z
dc.identifier.uri	http://hdl.handle.net/2445/126849
dc.description	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.
dc.format	10 p.
dc.format	application/pdf
dc.language	spa
dc.publisher	Elsevier
dc.relation	Reproducció del document publicat a: https://doi.org/10.1016/j.gaceta.2016.01.003
dc.relation	Gaceta Sanitaria, 2016, vol. 30, num. 3, p. 191-200
dc.relation	https://doi.org/10.1016/j.gaceta.2016.01.003
dc.rights	cc by-nc-nd (c) SESPAS, 2016
dc.rights	http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	Insuficiència cardíaca
dc.subject	Assistència hospitalària
dc.subject	Heart failure
dc.subject	Hospital care
dc.title	Tiempo de estancia prolongado en los pacientes ingresados por insuficiencia cardiaca aguda
dc.title	Length of stay in patients admitted for acute heart failure
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/publishedVersion

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