Key result
Patients admitted to the ICU with acute heart failure are typically over 70 years old with multiple comorbidities, facing an in-hospital mortality rate of 4% to 7%.
Acute heart failure admissions are common and associated with a 4-7% in-hospital mortality rate, highlighting the need for expert management and follow-up.
Supports specialized multidisciplinary care for elderly multimorbid acute HF patients; leaves open prospective trials to refine risk reduction.
More than a million patients are admitted annually to U.S. hospitals with acute heart failure. Multicentered hospital-based registries and surveys in the United States and Europe have shown that the typical patient is >70 yrs of age, with a history of heart failure, coronary artery disease, and hypertension. There are an equal number of men and women. Patients typically spend several days on the intensive care unit, with longer admissions in Europe than the United States. The in-hospital mortality rate is around 4% to 7%. The risk of subsequent hospital readmission is high. The elderly, those with comorbidities, and those with cardiogenic shock or renal failure do particularly badly. Better treatment by those with expertise in the management of this syndrome and good follow-up care are likely to improve the outcome for this large group of patients.
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Dar et al. (2008) conducted a review in Acute heart failure. Intensive care unit admission for acute heart failure was evaluated on In-hospital mortality rate. Patients admitted to the ICU with acute heart failure are typically over 70 years old with multiple comorbidities, facing an in-hospital mortality rate of 4% to 7%.
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