Affiliation:
1. Privolzhsky Research Medical University
Abstract
Objective: to analyze the leading causes of early (first two days) and late (after the second day) hospital mortality among of patients with acute decompensated heart failure.Materials and methods: a retrospective single-center cohort (n=718) of patients with acute decompensated heart failure.Results: predictors of prognosis for early hospital mortality were pulmonary edema, hepatomegaly, the need for inotropic and vasopressive drugs, the level of systolic blood pressure and creatinine. Predictors of prognosis for late hospital mortality were pulmonary edema, the need for inotropic drugs, community-acquired pneumonia, and laboratory markers of acute renal injury.Conclusion: Tactical approaches are proposed to reduce hospital mortality of patients with acute decompensated heart failure.
Publisher
Rostov State Medical University
Reference26 articles.
1. Chun S, Tu JV, Wijeysundera HC, Austin PC, Wang X, Levy D, et al. Lifetime analysis of hospitalizations and survival of patients newlyadmittedwithheartfailure.orrHeartFa/7.2012;5(4):414-21. doi: 10.1161/CIRCHEARTFAILURE.111.964791
2. Cowie MR, Anker SD, Cleland JGF, Felker GM, Filippatos G, Jaarsma T, et al. Improving care for patients with acute heart failure: before, during and after hospitalization. ESC Heart Fai7. 2014;1(2):110-145. doi: 10.1002/ehf2.12021.
3. Ezekowitz JA, Kaul P, Bakal JA, Armstrong PW, Welsh RC, McAlister FA. Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction. J Am Co77 Cardio7. 2009;53(1):13-20. doi: 10.1016/j.jacc.2008.08.067
4. Polyakov D.S., Fomin I.V., Valikulova F.Yu., Vaisberg A.R., Kraiem N., Badin Yu.V. i dr. Epidemiologicheskaya programma EPOKhA-KhSN: dekompensatsiya serdechnoi nedostatochnosti v real'noi klinicheskoi praktike (EPOKhA-D-KhSN). Zhurnal Serdechnaya Nedostatochnost'. 2016;17(6):299-305. eLIBRARY ID: 27714432
5. Rossiiskoe Dializnoe Obshchestvo. Klinicheskie prakticheskie rekomendatsii KDIGO po ostromu pochechnomu povrezhdeniyu. Nefrologiya I Dializ. 2014;16(4):1-155. eLIBRARY ID: 23330010