Ten-year survival and factors associated with increased mortality in patients admitted for acute decompensated heart failure in Thailand
| Autor: | Rungroj Krittayaphong, Piyamitr Sritara, Kasem Rattanasumawong, Prasart Laothavorn, Sopon Sanguanwong, Chulaluk Komoltri, Rapeephon Kunjara-Na-Ayudhya, Kriengkrai Hengrussamee |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute decompensated heart failure 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Cause of Death medicine Humans In patient 030212 general & internal medicine Registries Aged Heart Failure Ejection fraction business.industry Medical record Mortality rate Mean age General Medicine Middle Aged medicine.disease Thailand Survival Analysis Hospitals Hospitalization Mortality data Heart failure Original Article Female business |
| Zdroj: | Singapore Med J |
| Popis: | Introduction Data on the long-term outcomes of Asian patients admitted for acute decompensated heart failure is scarce. The objectives of this study were to determine short-term, intermediate-term, and long-term survival among patients admitted for acute decompensated heart failure in Thailand, and to identify factors independently associated with increased mortality. Methods Patients who were admitted with a primary diagnosis of heart failure were enrolled in the Thai Acute Decompensated Heart Failure Registry (ADHERE) from 18 hospitals located across Thailand during 2006. Medical record data was collected according to ADHERE protocol. Mortality data was collected from death certificates on file at the Thailand Bureau of Registration Administration. Results A total of 1,451 patients were included. The mean age of the patients was 63.7 ± 14.4 years, and 49.7% were male. One-year, five-year and ten-year mortality rates in Thai patients admitted for acute decompensated heart failure were 28.0%, 58.2% and 73.3%, respectively. Independent predictors of increased mortality were identified. There were more cardiovascular-related deaths than non-cardiovascular-related deaths (54.6% vs. 45.4%, respectively). Conclusion The ten-year mortality rate in Thai patients admitted for acute decompensated heart failure was 73.3%. Many factors were found to be independently associated with increased mortality, including left ventricular ejection fraction. |
| Databáze: | OpenAIRE |
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