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January 15, 2001ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)Open Access

Clinical events leading to the progression of heart failure: insights from a national database of hospital discharges

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Key result

Following a first-time admission for heart failure, 61% of surviving patients had at least one cardiovascular readmission within 3 years, often precipitated by ischemia or atrial fibrillation.

Population

12,640 patients with a first-time admission to hospital with heart failure in 1992 in Scotland, mean age 74…

Design

Cohort

Follow-up

3 years

Authors

AKAleem KhandUniversity of Liverpool

Discussion

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Implication

May guide intensified post-discharge monitoring for ischemia and AF in HF survivors; leaves open whether targeted prevention reduces readmissions.

Study Design

Type

Cohort (n=12,640)

Multicenter

Yes

Structured PICO

P
Population
12,640 patients with a first-time admission to hospital with heart failure in 1992 in Scotland, mean age 74 years, 46.2% men.
O
Outcome
Hospital readmissions and their cause, and deaths over the subsequent 3 yearshard clinical

Following a first heart failure hospitalization, recurrent ischemic events, atrial fibrillation, and worsening heart failure are the primary drivers of subsequent readmission and mortality.

Limitations

  • Whether this reflects progressive ventricular remodelling leading to worsening heart failure or other unidentified mechanisms cannot be discerned from this data.
  • Cannot discern whether readmissions for heart failure alone reflect progressive ventricular remodelling or other unidentified mechanisms from this data

Cite This Study

Aleem Khand (2001) conducted a cohort in Heart failure (n=12,640). Following a first-time admission for heart failure, 61% of surviving patients had at least one cardiovascular readmission within 3 years, often precipitated by ischemia or atrial fibrillation.

synapsesocial.com/papers/6a0f387ea7a2fed64abdd47ahttps://doi.org/10.1053/euhj.2000.2175

Topics

Heart failureHFrEF treatmentHeart failure hospitalization
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Also Consider

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  1. 1Cardiovascular disease in the Netherlands, 1975 to 1995: decline in mortality, but increasing numbers of patients with chronic conditions1999 · 50 citations
  2. 2Sudden Death in Heart Failure: Vascular or Electrical?1999 · 95 citations
  3. 3The epidemiology of heart failure: The Framingham Study1993 · 2,263 citations
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  5. 5Effect of Captopril on Mortality and Morbidity in Patients with Left Ventricular Dysfunction after Myocardial Infarction1992 · 5,954 citations