Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/106030
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Marques-Alves, Patricia | - |
dc.contributor.author | Marinho, Ana Vera | - |
dc.contributor.author | Almeida, José Paulo | - |
dc.contributor.author | Gonçalves, Tatiana | - |
dc.contributor.author | Costa, Marta | - |
dc.contributor.author | Ferreira, Mafalda | - |
dc.contributor.author | Baptista, Rui | - |
dc.contributor.author | Costa, Susana | - |
dc.contributor.author | Franco, Fátima | - |
dc.contributor.author | Fonseca, Isabel | - |
dc.contributor.author | Gonçalves, Lino | - |
dc.date.accessioned | 2023-03-16T09:30:07Z | - |
dc.date.available | 2023-03-16T09:30:07Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 2055-5822 | pt |
dc.identifier.issn | 2055-5822 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/106030 | - |
dc.description.abstract | Aims In Portugal, in the last 5 years, no study has published recent data regarding outcomes of patients with acute decompensated heart failure (ADHF). We aimed to determine the characteristics and outcomes of a large contemporaneous Portuguese cohort of ADHF patients admitted to our emergency department (ED). Methods and results We conducted a retrospective, study of all 1024 patients admitted to our ED with a discharge diagnosis of ADHF from November 2016 to December 2017. Baseline clinical data and outcomes {in-hospital, 30 day, and follow-up allcause mortality, and readmissions; median follow-up, 5 months; interquartile range [(IQR), 3–11 months]} were determined. Mean age was 78 ± 10 years, and 53% were male; of the 1024 patients, 554 (54%) were hospitalized. The median hospitalization length was 9 (IQR, 5–15) days, and in-hospital mortality was 12.7%. Hospitalized patients were predominantly men (56% vs. 47%; P < 0.001), younger (77 ± 9 vs. 79 ± 11 years; P = 0.002) and had higher creatinine values and B-type natriuretic peptide values (P < 0.001) than discharged patients. Patients with prior hospitalization had lower 30 day readmission rate (8% vs. 14%; P = 0.01), same overall readmission rate (30% vs. 32%), and higher 30 day (13% vs. 5%; P < 0.001) and overall mortality rates (28% vs. 15%; P < 0.001). Conclusions Approximately half of the patients admitted to the ED were hospitalized. Of these, only 8% were readmitted in the ED within 30 days. The clinical and analytical status in the ED are important predictors of hospitalization. | pt |
dc.language.iso | eng | pt |
dc.publisher | John Wiley & Sons, Ltd | pt |
dc.relation | FCT - grant number poci-01-0145-feder- 032414 | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | pt |
dc.subject | Acute heart failure | pt |
dc.subject | Emergency department | pt |
dc.subject | Epidemiology | pt |
dc.subject | Mortality | pt |
dc.subject | In-hospital mortality | pt |
dc.subject | Readmission rates | pt |
dc.subject | Hospitalization | pt |
dc.subject | Predictors of prognosis | pt |
dc.subject.mesh | Aged | pt |
dc.subject.mesh | Aged, 80 and over | pt |
dc.subject.mesh | Female | pt |
dc.subject.mesh | Humans | pt |
dc.subject.mesh | Male | pt |
dc.subject.mesh | Natriuretic Peptide, Brain | pt |
dc.subject.mesh | Portugal | pt |
dc.subject.mesh | Retrospective Studies | pt |
dc.subject.mesh | Heart Failure | pt |
dc.subject.mesh | Patient Readmission | pt |
dc.title | Real-world analysis of acute decompensated heart failure outcomes in Portugal | pt |
dc.type | article | - |
degois.publication.firstPage | 551 | pt |
degois.publication.lastPage | 558 | pt |
degois.publication.issue | 2 | pt |
degois.publication.title | ESC Heart Failure | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1002/ehf2.12599 | pt |
degois.publication.volume | 7 | pt |
dc.date.embargo | 2020-04-01 | * |
uc.date.periodoEmbargo | 0 | pt |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | Com Texto completo | - |
crisitem.author.researchunit | CNC - Center for Neuroscience and Cell Biology | - |
crisitem.author.orcid | 0000-0002-7411-7039 | - |
crisitem.author.orcid | 0000-0001-9255-3064 | - |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais I&D ICBR - Artigos em Revistas Internacionais |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
ESC Heart Failure - 2020 - Marques‐Alves - Real‐world analysis of acute decompensated heart failure outcomes in Portugal.pdf | 525.51 kB | Adobe PDF | View/Open |
Page view(s)
56
checked on May 8, 2024
Download(s)
20
checked on May 8, 2024
Google ScholarTM
Check
Altmetric
Altmetric
This item is licensed under a Creative Commons License