Evaluation of clinical and demographic characteristics and their association with length of hospital stay in patients admitted to cardiac intensive care unit with the diagnosis of acute heart failure

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dc.contributor.authorSahin, Sami
dc.contributor.authorDogan, Umuttan
dc.contributor.authorOzdemir, Kurtulus
dc.contributor.authorGok, Hasan
dc.date.accessioned2020-03-26T18:25:36Z
dc.date.available2020-03-26T18:25:36Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: Despite increasing incidence, data regarding clinical and demographic characteristics of patients with acute heart failure (AHF) admitted to cardiac intensive care unit (ICU) are inconclusive. The aim of this study was to assess the presentation characteristics and factors determining the length of hospital stay in this particular patient population. Methods: We conducted a single-center, prospective study involving 150 patients hospitalized to cardiac ICU with the primary diagnosis of AHF. Chi-square and Student t tests were used for the analysis of categorical and continuous variables, respectively. Linear regression analysis (LRA) was used to determine the factors affecting the length of hospital stay. Results: Forty-nine percent of the patients had new-onset AHF and 25% had preserved left ventricular ejection fraction (LVEF). In 25.3% of all patients and 46.6% of the patients with new-onset HF the precipitating factor was acute coronary syndrome. Atrial fibrillation and valvular heart disease as precipitating factors were more common in patients with preserved EF, when compared to low EF group. LRA showed that presence of anemia [beta=1.62; 95% CI 0.08-3.15; p=0.039)] and severe mitral regurgitation (beta=2.55; 95% CI 0.06-5.05; p=0.045) and systolic blood pressure (beta=-0.03; 95% CI -0.06 - -0.002; p=0.039) and blood urea nitrogen (beta=0.034; 95% CI 0.006 - 0.06; p=0.016) were the independent predictors of length of stay. Conclusion: Underlying cardiovascular risk factors, comorbidities and precipitating pathologies were diverse and highlighted the inhomogeneous characteristics of AHF syndromes. However, in-hospital mortality was high and initial clinical presentation characteristics were significantly associated with in-hospital outcome. (Anadolu Kardiyol Derg 2012; 12: 123-31)en_US
dc.identifier.doi10.5152/akd.2012.038en_US
dc.identifier.endpage131en_US
dc.identifier.issn2149-2263en_US
dc.identifier.issn2149-2271en_US
dc.identifier.issue2en_US
dc.identifier.pmid22281792en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage123en_US
dc.identifier.urihttps://dx.doi.org/10.5152/akd.2012.038
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28031
dc.identifier.volume12en_US
dc.identifier.wosWOS:000300797800008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTURKISH SOC CARDIOLOGYen_US
dc.relation.ispartofANATOLIAN JOURNAL OF CARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAcute heart failureen_US
dc.subjectclinical presentation characteristicsen_US
dc.subjectintensive care uniten_US
dc.subjectregression analysisen_US
dc.titleEvaluation of clinical and demographic characteristics and their association with length of hospital stay in patients admitted to cardiac intensive care unit with the diagnosis of acute heart failureen_US
dc.typeArticleen_US

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