Decompensated heart failure in a single center of a Latin American country: findings from the first 1595 cases in the ICARUS registry.

Autor: Rojas LZ; Nursing Research and Knowledge Development Group (GIDCEN-FCV), Research Center, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Gómez-Ochoa SA; Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Rodríguez JA; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., García-Rueda KA; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Torres-Bustamante AM; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Botero DR; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Cantillo-Reines M; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Serrano-García AY; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Jurado AM; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Castro KJ; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Pinilla K; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Mendoza-Quiñonez AC; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Vasquez NJ; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Alvarez YY; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Rojas M; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Ortega-Solano DM; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Sanabria Y; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Vargas-Sanabria A; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Cáceres AM; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Bohorquez-Hernández PS; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Portillo C; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia., Echeverría LE; Heart Failure and Transplant Clinic, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
Jazyk: angličtina
Zdroj: Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2024 Oct 24. Date of Electronic Publication: 2024 Oct 24.
DOI: 10.24875/ACM.24000020
Abstrakt: Objective: Describe the methodological aspects, sociodemographic, and clinical characteristics of patients hospitalized with acute decompensated heart failure (ADHF) and their short-term outcomes.
Methods: Prospective cohort of patients with ADHF from the emergency service of the cardiovascular center. Descriptive statistics were used to synthesize sociodemographic characteristics, clinical characteristics during hospitalization, and outcomes.
Results: 1595 patients with ADHF. The median age was 68 years (Q1 = 58; Q3 = 76), and 69.28% were men. The median hospital stay was 6 days (Q1 = 4; Q3 = 11), with an cumulative incidence for re-hospitalization at 30 days of 8.70% (95% CI 7.18-10.40%), in-hospital mortality cumulative incidence of 4.33% (95% CI 3.38-5.44%), and a median change in the quality-of-life score Minnesota Living with Heart Failure at 30 days of -20 points (Q1 = -37; Q3 = -5). At discharge, all patients had a percentage > 70% of the use of quadruple neurohormonal blockade therapy.
Conclusion: Institutional aCute decompensAted HeaRt FailUre RegiStry (ICARUS) is one of the first studies in Latin America to demonstrate the importance of characterizing the population with ADHF and the adherence to heart failure guidelines may have influenced the favorable clinical outcomes.
Databáze: MEDLINE