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March 1, 2003European Journal of Heart Failure

Factors Influencing the Length of Hospital Stay of Patients with Heart Failure

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Why the study?

What factors influence the length of hospital stay in patients admitted with heart failure?

Population

197 patients admitted to Auckland Hospital general medical service with heart failure, mean age 73 years…

Design

Cohort

Follow-up

hospital stay

Authors

SWS. WrightMedtronic (United States)DVDinos VerouhisKarolinska University HospitalGGGreg GambleThe University of Sydney

Discussion

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Implication

These factors may identify HF patients at risk for prolonged stays; leaves open whether targeting them shortens hospitalization.

Structured PICO

What factors influence the length of hospital stay in patients admitted with heart failure?

P
Population
197 patients admitted to Auckland Hospital general medical service with heart failure, mean age 73 years, mean LVEF 32%, 75% NYHA class IV at admission.
O
Outcome
Length of hospital stay

Peripheral congestion, renal impairment, concurrent medical issues, and social problems are strongly associated with prolonged hospital stays in heart failure patients.

Limitations

  • Multivariate models only partly explained variance in hospital stay

Cite This Study

Wright et al. (2003) studied this question.

synapsesocial.com/papers/6a0a577dfdd00ab7863dc9a9https://doi.org/10.1016/s1388-9842(02)00201-5

Topics

HFrEF treatmentHeart failureEchocardiographyHeart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Length of stay and procedure utilization are the major determinants of hospital charges for heart failure2001 · 49 citations
  2. 2Trends in hospitalization for heart failure in Scotland, 1990–1996. An epidemic that has reached its peak?2001 · 227 citations
  3. 3Randomized, controlled trial of integrated heart failure management. The Auckland Heart Failure Management Study2002 · 265 citations
  4. 4The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality1991 · 211 citations
  5. 5Increase in hospital admission rates for heart failure in The Netherlands, 1980-1993.1996 · 138 citations