Analysis on influencing factors of length of hospital stay in a multicenter heart failure cohort
10.19405/j.cnki.issn1000-1492.2022.10.028
- Author:
Ruochen Xu
1
;
Kangyu Chen
2
;
Qi Wang
2
;
Guohong Wu
2
;
Hao Su
2
;
Fuyuan Liu
2
;
Hongqi Li
2
;
Ji Yan
1
Author Information
1. Dept of Cardiology, The Affiliated Provincial Hospital of Anhui Medical University,Hefei 230001
2. Dept of Cardiology, The First Affiliated Hospital of University of Science and Technology of China , Hefei 230001
- Publication Type:Journal Article
- Keywords:
heart failure;
hospitalization time;
influencing factors
- From:
Acta Universitatis Medicinalis Anhui
2022;57(10):1665-1669
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To analyze the length of hospital stay of patients with heart failure in a multicenter cohort in
order to explore the influencing factors of length of stay and provide data support for further intervention.
Methods:A total of 2 794 patients enrolled in the multicenter prospective heart failure cohort were divided into two groups: long hospital stay group (≥9 days) and short hospital stay group ( < 9 days) . The general data of the two groups were compared, and the factors with statistical difference in univariate analysis were included in Logistic multifactor regression analysis to explore the difference in length of hospital stay between the two groups. According to left ventricular ejection fraction(LVEF), patients were divided into heart failure with preserved reduced ejection fraction (HFpEF)group, heart failure with mildly reduced ejection fraction(HFmrEF)group and heart failure with reduced ejection fraction(HFrEF) group, and Logistic multifactor regression analysis was performed to find influencing factors.
Results :Logistic multifactor regression analysis showed that LVEF, pneumonia, N⁃terminal pro⁃B⁃type natriuretic peptide(NT⁃proBNP), serum sodium, cardiac resynchronization therapy( CRT) or implantable cardioverter defibrillator(ICD)implantation, β blockers, aldosterone receptor antagonists, positive inotropic drugs and vasodilators were all factors influencing the hospitalization of HF patients. In the HFpEF, HFmrEF, and HFrEF groupsCRT/ICD implantation, positive inotonic drugs, and vasodilator use were suggested to be common factors affecting length of hospital stay in all three groups.
Conclusion :LVEF, pneumonia, NT⁃proBNP, serum sodium, CRT or ICD implantation, β blockers, aldosterone receptor antagonists, positive inotropic drugs and vasodilators are the influencing factors of hospitalization time in HF patients.
- Full text:2024081221271971511多中心心力衰竭队列患者住院时间影响因素分析_徐若辰.pdf
