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Vol 74, No 1 (2016)
Original articles
Published online: 2015-06-18
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Predictors of one-year outcome in patients hospitalised for heart failure: results from the Polish part of the Heart Failure Pilot Survey of the European Society of Cardiology

Paweł Balsam, Agata Tymińska, Agnieszka Kapłon-Cieślicka, Krzysztof Ozierański, Michał Peller, Michalina Galas, Michał Marchel, Jarosław Drożdż, Krzysztof J. Filipiak, Grzegorz Opolski
DOI: 10.5603/KP.a2015.0112
·
Kardiol Pol 2016;74(1):9-17.

open access

Vol 74, No 1 (2016)
Original articles
Published online: 2015-06-18

Abstract

Background: Over the last few decades, the incidence and prevalence of chronic heart failure (HF) have been constantly increasing.

Aim: To identify predictors of one-year mortality and hospital readmissions in patients discharged after hospitalisation for HF.

Methods: The study included Polish patients who agreed to participate in the Heart Failure Pilot Survey of the European Society of Cardiology and were followed for 12 months. The primary endpoint was all-cause death at 12 months. The secondary endpoint was a composite of all-cause death and readmission for cardiac causes at 12 months.

Results: The final analysis included 629 patients. The primary end point occurred in 68 of 629 patients (10.8%). In multivariate analysis, independent predictors of one-year mortality were: higher New York Heart Association (NYHA) class at admission (odds ratio [OR] 1.90; 95% confidence interval [CI] 1.01–3.59; p = 0.0478), inotropic support during hospitalisation (OR 3.95; 95% CI 1.49–10.47; p = 0.0056), and lower glomerular filtration rate at discharge (OR 0.978; 95% CI 0.961–0.995; p = 0.0117). The secondary endpoint occurred in 278 of 503 patients (55.3%). In multivariate analysis, predictors of secondary endpoint were a history of previous coronary revascularisation (OR 2.403; 95% CI 1.221–4.701; p = 0.002) and inotropic support during hospitalisation (OR 2.521; 95% CI 1.062–5.651; p = 0.009).

Conclusions: Patients discharged after hospitalisation for HF remained at high risk of death and hospital readmission. A previous history of coronary revascularisation, decreased renal function, and worse clinical status at admission with the need for inotropic support were predictors of one-year outcome in Polish patients hospitalised for HF.

Abstract

Background: Over the last few decades, the incidence and prevalence of chronic heart failure (HF) have been constantly increasing.

Aim: To identify predictors of one-year mortality and hospital readmissions in patients discharged after hospitalisation for HF.

Methods: The study included Polish patients who agreed to participate in the Heart Failure Pilot Survey of the European Society of Cardiology and were followed for 12 months. The primary endpoint was all-cause death at 12 months. The secondary endpoint was a composite of all-cause death and readmission for cardiac causes at 12 months.

Results: The final analysis included 629 patients. The primary end point occurred in 68 of 629 patients (10.8%). In multivariate analysis, independent predictors of one-year mortality were: higher New York Heart Association (NYHA) class at admission (odds ratio [OR] 1.90; 95% confidence interval [CI] 1.01–3.59; p = 0.0478), inotropic support during hospitalisation (OR 3.95; 95% CI 1.49–10.47; p = 0.0056), and lower glomerular filtration rate at discharge (OR 0.978; 95% CI 0.961–0.995; p = 0.0117). The secondary endpoint occurred in 278 of 503 patients (55.3%). In multivariate analysis, predictors of secondary endpoint were a history of previous coronary revascularisation (OR 2.403; 95% CI 1.221–4.701; p = 0.002) and inotropic support during hospitalisation (OR 2.521; 95% CI 1.062–5.651; p = 0.009).

Conclusions: Patients discharged after hospitalisation for HF remained at high risk of death and hospital readmission. A previous history of coronary revascularisation, decreased renal function, and worse clinical status at admission with the need for inotropic support were predictors of one-year outcome in Polish patients hospitalised for HF.

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Keywords

heart failure, hospitalisation, inotropic support, prognosis, registry

About this article
Title

Predictors of one-year outcome in patients hospitalised for heart failure: results from the Polish part of the Heart Failure Pilot Survey of the European Society of Cardiology

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 74, No 1 (2016)

Pages

9-17

Published online

2015-06-18

DOI

10.5603/KP.a2015.0112

Bibliographic record

Kardiol Pol 2016;74(1):9-17.

Keywords

heart failure
hospitalisation
inotropic support
prognosis
registry

Authors

Paweł Balsam
Agata Tymińska
Agnieszka Kapłon-Cieślicka
Krzysztof Ozierański
Michał Peller
Michalina Galas
Michał Marchel
Jarosław Drożdż
Krzysztof J. Filipiak
Grzegorz Opolski

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