What question did this study set out to answer?

The study aims to analyze the presentation and outcomes of different subgroups of acute heart failure patients in critical care.

February 21, 2009Swiss Medical WeeklyOpen Access

Presentation and outcome of critically ill medical and cardiac-surgery patients with acute heart failure

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Population

192 consecutive acute heart failure patients admitted to the cardio-thoracic and medical ICU of a university…

Design

Cohort

Follow-up

6 months

Authors

ARAlain RudigerHeart Failure & Transplant FBFranziska BusingerUniversity Hospital of Zurich MSMichael StreitHeidelberg University

Discussion

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Implication

Medical and emergency surgery AHF patients face higher mortality than elective cases; supports stratification by admission type but leaves open targeted interventions.

Key Points

The study aims to analyze the presentation and outcomes of different subgroups of acute heart failure patients in critical care.
Prospective observational study conducted over 6 months in a university hospital ICU.
Included 192 patients with acute heart failure based on European Society of Cardiology guidelines.
Utilized univariate Cox regression to calculate hazard ratios and confidence intervals.
30-day mortality rates were 31% for medical patients, 4.7% for elective surgery, and 22% for emergency surgery (<0.05).
Cardiogenic shock was present in 32% of patients and was associated with poor outcomes (HR 1.8, CI 1.0-3.0; p=0.04).
Infection (HR 2.8, CI 1.5-5.7; p<0.01) and renal dysfunction (HR 4.4, CI 2.2-8.4; p<0.01) significantly increased mortality risk.

Structured PICO

Population

192 consecutive acute heart failure (AHF) patients admitted to the cardio-thoracic and medical ICU of a university hospital, including 86 undergoing elective cardiac surgery, 24 undergoing emergency cardiac surgery, and 82 medical patients.

Outcome

Mortality at 30 days and 180 dayshard clinical

Critically ill AHF patients represent distinct subpopulations based on surgical vs. medical status, with medical and emergency surgery patients experiencing significantly higher short- and long-term mortality than elective surgery patients.

Cite This Study

Rudiger et al. (2009) studied this question.

synapsesocial.com/papers/6a6fb553439bab0cabc2e2e0 https://doi.org/10.4414/smw.2009.12446

Topics

Heart failure HFrEF treatment Valvular heart disease Coronary artery disease Cardiomyopathy

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Implication

Medical and emergency surgery AHF patients face higher mortality than elective cases; supports stratification by admission type but leaves open targeted interventions.

Presentation and outcome of critically ill medical and cardiac-surgery patients with acute heart failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Presentation and outcome of critically ill medical and cardiac-surgery patients with acute heart failure

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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