Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12530/57573
Title: Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study.
Authors: 
Miró, Òscar
Padrosa, Joan
Takagi, Koji
Gayat, Étienne
Gil, Víctor
Llorens, Pere
Martín-Sánchez, Francisco Javier
Herrero-Puente, Pablo
Jacob, Javier
Montero, María Mir
Tost, Josep
Díez, María Pilar López
Traveria, Lissete
Torres-Gárate, Raquel
Alonso, María Isabel
Agüera, Carmen
Valero, Amparo
Javaloyes, Patricia
Peacock, W Frank
Bueno, Héctor
Mebazaa, Alexandre
ICA-SEMES Research Group
Fuentes, Marta
Gil, Cristina
Alonso, Héctor
Garmila, Pablo
García, Guillermo Llopis
Yáñez-Palma, María Cecilia
López, Sergio Iglesias
Escoda, Rosa
Xipell, Carolina
Sánchez, Carolina
Gaytan, Josep María
Pérez-Durá, María José
Salvo, Eva
Pavón, José
Noval, Antonio
Torres, José Manuel
López-Grima, María Luisa
Valero, Amparo
Juan, Marian Ángeles
Aguirre, Alfons
Morales, Julián Errasti
Masó, Silvia Mínguez
Alonso, María Isabel
Ruiz, Francisco
Franco, José Miguel
Mecina, Ana Belén
Tost, Josep
Sánchez, Susana
Carbajosa, Virginia
Piñera, Pascual
Nicolás, José Andrés Sánchez
Garate, Raquel Torres
Alquezar, Aitor
Rizzi, Miguel Alberto
Herrera, Sergio
Roset, Alex
Cabello, Irene
Richard, Fernando
Pérez, José María Álvarez
Diez, María Pilar López
Álvarez, Joaquín Vázquez
García, Belén Prieto
Sánchez González, María García García yMarta
Javaloyes, Patricia
Marquina, Víctor
Jiménez, Inmaculada
Hernández, Néstor
Brouzet, Benjamín
Ramos, Sergio
López, Ana
Andueza, Juan Antonio
Romero, Rodolfo
Ruíz, Martín
Calvache, Roberto
Lorca, María Teresa
Calderón, Luis
Arriaga, Beatriz Amores
Sierra, Beatriz
Mojarro, Enrique Martín
Bécquer, Lisette Travería
Burillo, Guillermo
García, Lluís Llauger
LaSalle, Gerard Corominas
Urbano, Carmen Agüera
Soto, Ana Belén García
Padial, Elisa Delgado
Ferrer, Ester Soy
Garrido, Manuel
Lucas, Francisco Javier
Gaya, Rut
Bibiano, Carlos
Mir, María
Rodríguez, Beatriz
Sánchez, Natalia
Carballo, José Luis
Rodríguez-Adrada, Esther
Rodríguez, Belén
Keywords: 
Mesh: 
Issue Date: 23-Aug-2019
Citation: Eur J Intern Med.2019;(70):24-32
Abstract: To investigate the relationship between length of hospitalisation (LOH) and post-discharge outcomes in acute heart failure (AHF) patients and to ascertain whether there are different patterns according to department of initial hospitalisation. Consecutive AHF patients hospitalised in 41 Spanish centres were grouped based on the LOH (15 days). Outcomes were defined as 90-day post-discharge all-cause mortality, AHF readmissions, and the combination of both. Hazard ratios (HRs), adjusted by chronic conditions and severity of decompensation, were calculated for groups with LOH >6 days vs. LOH 6 days vs. LOH We included 8563 patients (mean age: 80 (SD = 10) years, 55.5% women), with a median LOH of 7 days (IQR 4-11): 2934 (34.3%) had a LOH 15 days. The 90-day post-discharge mortality was 11.4%, readmission 32.2%, and combined endpoint 37.4%. Mortality was increased by 36.5% (95%CI = 13.0-64.9) when LOH was 11-15 days, and by 72.0% (95%CI = 42.6-107.5) when >15 days. Conversely, no differences were found in readmission risk, and the combined endpoint only increased 21.6% (95%CI = 8.4-36.4) for LOH >15 days. Stratified analysis by hospitalisation departments rendered similar post-discharge outcomes, with all exhibiting increased mortality for LOH >15 days and no significant increments in readmission risk. Short hospitalisations are not associated with worse outcomes. While post-discharge readmissions are not affected by LOH, mortality risk increases as the LOH lengthens. These findings were similar across hospitalisation departments.
PMID: 31451322
URI: https://hdl.handle.net/20.500.12530/57573
Appears in Collections:Hospitales > H. U. Tajo > Artículos

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