Key result
Uncontrolled disease occurred in 31% of patients during the first year after a first episode of acute heart failure, and was independently associated with age >80 years (OR 1.80; 95% CI 1.17-2.77).
Why the study?
The natural history of patients after a first episode of acute heart failure requiring emergency department consultation—including revisits, admitting departments, and factors linked to difficult disease control—was investigated.
Population
505 consecutive patients with a first episode of acute heart failure across four EDs
Design
Multicentre cohort study
Follow-up
Mean 2.4 years
Authors
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Suggests closer post-discharge monitoring for octogenarians after initial acute HF; hypothesis-generating for targeted control strategies.
Cohort (n=505)
Yes
Odds Ratio: 1.8 (95% CI 1.17–2.77)
Following a first episode of acute heart failure, patients experience high rates of ED revisits and hospitalizations across multiple departments, with advanced age, low systolic blood pressure, and anemia predicting poor disease control.
Miró et al. (2019) conducted a cohort in Acute heart failure (n=505). Age > 80 years, systolic blood pressure < 110 mmHg, and anaemia vs. Absence of these risk factors was evaluated on Uncontrolled disease during the first year after first episode of acute heart failure (ED visits ≥ 3, hospitalisations ≥ 2, or death) (OR 1.80, 95% CI 1.17-2.77). Uncontrolled disease occurred in 31% of patients during the first year after a first episode of acute heart failure, and was independently associated with age >80 years (OR 1.80; 95% CI 1.17-2.77).
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