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PROGNOSTIC FACTORS IN CHILDREN’S HEART FAILURE TREATMENT AT VIETNAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Objectives: Understand some factors that help prognostic in treatment outcomes in children’s heart failure at Vietnam national children’s hospital. Methods: a descriptive cross-sectional study using convenience sampling. Patients with heart failure was treated according to protocol and studied some factors related to the outcomes. Results: NT-ProBNP concentration at admission, higher in the poor-progressing group at 4138 pg/ml than in the good-progressing group (2329 pg/ml) and higher in the mortality group than in the non-fatal group (4138 pg/ml versus 2374 pg/ml), is statistically significant (p<0.005). When multivariate analysis, the results showed that the more severe heart failure stages, the higher the risk of death (OR = 2,09, 95% CI: 2,03 - 2,17), the lower decreasing in EF the higher risk of death (OR = 0,94, 95% CI: 0,89 - 0,99), the more concentrated NT-ProBNP the higher risk of death (OR = 1,12, 95% CI: 1,04 -1,15). Conclusions: NT-ProBNP concentration, heart failure stages, and heart function at admission are independent factors and valuable to the prognostic in risk of death.
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Keywords
treatment prognosis, heart failure, children
References
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