Key result
NYHA Class IV, EF <40%, and male gender were identified as strong predictors of one-year post-discharge mortality in heart failure patients, who experienced an overall mortality rate of 8.2%.
Why the study?
What are the clinical predictors of mortality at one year post discharge in heart failure patients?
Observational (n=327)
No
What are the clinical predictors of mortality at one year post discharge in heart failure patients?
In a South Indian cohort of heart failure patients, NYHA Class IV, EF <40%, and male gender were strong predictors of 1-year post-discharge mortality.
NYHA class IV, EF <40%, and male sex associated with higher 1-year post-discharge HF mortality; supports risk stratification but leaves validation to prospective studies.
BACKGROUND Failure (HF) is a leading cause of hospitalisation and death across the globe. An idea about predictors of mortality can physician in patient prognosis as well as decision making about the type and intensity of care of hospitalised patients. aim of the present study is to identify clinical factors that predict mortality at one year post discharge in HF patients. AND METHODS single centre observational study included 327 patients with HF. Patient mortality at one year follow up was identified and correlated with various clinical factors including gender, anaemia, renal malfunction, ejection fraction <40% and NYHA IV. Cox regression analysis was applied to identify relative risk of each clinical factor. one year post discharge mortality rate was 8.2%. NYHA Class IV, EF <40% and male gender were identified as strong of mortality while anaemia and renal malfunction were reported as moderate predictors of mortality. study further confirms the significant mortality rates in HF patients even at one year follow up. We suggest that patients at risk such as those with NYHA class IV, EF <40% and male gender be treated with more intensive treatment plans.
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Govind et al. (2017) conducted an observational in Heart Failure (n=327). Clinical factors (NYHA Class IV, EF <40%, male gender, anaemia, renal malfunction) was evaluated on Mortality at one year post discharge. NYHA Class IV, EF <40%, and male gender were identified as strong predictors of one-year post-discharge mortality in heart failure patients, who experienced an overall mortality rate of 8.2%.
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