ĐẶC ĐIỂM VÀ KẾT CỤC NGẮN HẠN CỦA NGƯỜI BỆNH NHẬP VIỆN VÌ SUY TIM MẤT BÙ CẤP TẠI BỆNH VIỆN NHÂN DÂN GIA ĐỊNH

Abstract

Background: Heart failure is a leading cause of hospitalization for adults. Identifying the clinical and subclinical characteristics of heart failure patients is essential for reducing mortality and hospital readmission rate. Objectives: To determine clinical and subclinical features in patients hospitalized due to DHF and to assess the in-hospital mortality, hospital length of stay and hospital readmission rate. Methods: A prospective study of incident acute heart failure at NDGD hospital, from 01/2023 to 10/2023. For univariate analysis, the chi-square, Student t and Mann Whitney tests were used. For multivariate analysis, logistic regression was used. Results: 213 patients were recruited during the study period. The mean age was 66,8 (± 14.5), and 45,5% were men. The most common comorbid conditions were hypertension (93%), dyslipidemia (83,1%), diabetes (59%), coronary artery disease (33,3%) and atrial fibrillation (30%). The major exacerbating factors were infection (45%), noncompliance (26%), acute syndrome coronary (15%), uncontrolled hypertension (12%) and arrhythmias (12%). Mean left ventricular systolic function (EF) was 37%. 56% were the heart failure with reduced EF and 34% were the heart failure with preserved EF (HFpEF). The median hospital length of stay was 6 days. In-hospital mortality and 30 day readmission rate were 15% and 32%. Conclusions: Patients with acute decompensated heart failure hospitalized at the Cardiology Department of Nhan Dan Gia Dinh hospital had high rates of in-hospital death and 30 day hospital readmission. 56% was the heart failure with reduced ejection fraction and 34% was the heart failure with preserved ejection fraction.