000099334 001__ 99334
000099334 005__ 20210224140106.0
000099334 0247_ $$2doi$$a10.1016/j.ejim.2019.08.007
000099334 0248_ $$2sideral$$a122921
000099334 037__ $$aART-2019-122921
000099334 041__ $$aeng
000099334 100__ $$aMiró, Ò.
000099334 245__ $$aInfluence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study
000099334 260__ $$c2019
000099334 5060_ $$aAccess copy available to the general public$$fUnrestricted
000099334 5203_ $$aObjective: To investigate the relationship between length of hospitalisation (LOH) and post-discharge outcomes in acute heart failure (AHF) patients and to ascertain whether there are different patterns according to department of initial hospitalisation.
Methods: Consecutive AHF patients hospitalised in 41 Spanish centres were grouped based on the LOH (<6/6-10/11-15/>15 days). Outcomes were defined as 90-day post-discharge all-cause mortality, AHF readmissions, and the combination of both. Hazard ratios (HRs), adjusted by chronic conditions and severity of decompensation, were calculated for groups with LOH >6 days vs. LOH <6 days (reference), and stratified by hospitalisation in cardiology, internal medicine, geriatrics, or short-stay units.
Results: We included 8563 patients (mean age: 80 (SD = 10) years, 55.5% women), with a median LOH of 7 days (IQR 4–11): 2934 (34.3%) had a LOH <6 days, 3184 (37.2%) 6–10 days, 1287 (15.0%) 11–15 days, and 1158 (13.5%) >15 days. The 90-day post-discharge mortality was 11.4%, readmission 32.2%, and combined endpoint 37.4%. Mortality was increased by 36.5% (95%CI = 13.0–64.9) when LOH was 11–15 days, and by 72.0% (95%CI = 42.6–107.5) when >15 days. Conversely, no differences were found in readmission risk, and the combined endpoint only increased 21.6% (95%CI = 8.4–36.4) for LOH >15 days. Stratified analysis by hospitalisation departments rendered similar post-discharge outcomes, with all exhibiting increased mortality for LOH >15 days and no significant increments in readmission risk.
Conclusions: Short hospitalisations are not associated with worse outcomes. While post-discharge readmissions are not affected by LOH, mortality risk increases as the LOH lengthens. These findings were similar across hospitalisation departments.
000099334 536__ $$9info:eu-repo/grantAgreement/ES/MSC-ISCIII-FEDER/PI15-00773$$9info:eu-repo/grantAgreement/ES/MSC-ISCIII-FEDER/PI15-01019$$9info:eu-repo/grantAgreement/ES/MSC-ISCIII-FEDER/PI18-00393$$9info:eu-repo/grantAgreement/ES/MSC-ISCIII-FEDER/PI18-00456
000099334 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000099334 590__ $$a4.329$$b2019
000099334 591__ $$aMEDICINE, GENERAL & INTERNAL$$b26 / 165 = 0.158$$c2019$$dQ1$$eT1
000099334 592__ $$a1.017$$b2019
000099334 593__ $$aInternal Medicine$$c2019$$dQ2
000099334 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000099334 700__ $$aPadrosa, J.
000099334 700__ $$aTakagi, K.
000099334 700__ $$aGayat, É.
000099334 700__ $$aGil, V.
000099334 700__ $$aLlorens, P.
000099334 700__ $$aMartín-Sánchez, F.J.
000099334 700__ $$aHerrero-Puente, P.
000099334 700__ $$aJacob, J.
000099334 700__ $$aMontero, M.M.
000099334 700__ $$aTost, J.
000099334 700__ $$aDíez, M.P.L.
000099334 700__ $$aTraveria, L.
000099334 700__ $$aTorres-Gárate, R.
000099334 700__ $$aAlonso, M.I.
000099334 700__ $$aAgüera, C.
000099334 700__ $$aValero, A.
000099334 700__ $$aJavaloyes, P.
000099334 700__ $$aPeacock, W.F.
000099334 700__ $$aBueno, H.
000099334 700__ $$aMebazaa, A.
000099334 700__ $$aFuentes, M.
000099334 700__ $$aGil, C.
000099334 700__ $$aAlonso, H.
000099334 700__ $$aGarmila, P.
000099334 700__ $$aGarcía, G.L.
000099334 700__ $$aYáñez-Palma, M.C.
000099334 700__ $$aLópez, S.I.
000099334 700__ $$aEscoda, R.
000099334 700__ $$aXipell, C.
000099334 700__ $$aSánchez, C.
000099334 700__ $$aGaytan, J.M.
000099334 700__ $$aPérez-Durá, M.J.
000099334 700__ $$aSalvo, E.
000099334 700__ $$aPavón, J.
000099334 700__ $$aNoval, A.
000099334 700__ $$aTorres, J.M.
000099334 700__ $$aLópez-Grima, M.L.
000099334 700__ $$aJuan, M.Á.
000099334 700__ $$aAguirre, A.
000099334 700__ $$aMorales, J.E.
000099334 700__ $$aMasó, S.M.
000099334 700__ $$aRuiz, F.
000099334 700__ $$0(orcid)0000-0003-3608-8342$$aFranco, J.M.
000099334 700__ $$aMecina, A.B.
000099334 700__ $$aSánchez, S.
000099334 700__ $$aCarbajosa, V.
000099334 700__ $$aPiñera, P.
000099334 700__ $$aNicolás, J.A.S.
000099334 700__ $$aGarate, R.T.
000099334 700__ $$aAlquezar, A.
000099334 700__ $$aRizzi, M.A.
000099334 700__ $$aHerrera, S.
000099334 700__ $$aRoset, A.
000099334 700__ $$aCabello, I.
000099334 700__ $$aRichard, F.
000099334 700__ $$aPérez, J.M.Á.
000099334 700__ $$aDiez, M.P.L.
000099334 700__ $$aÁlvarez, J.V.
000099334 700__ $$aGarcía, B.P.
000099334 700__ $$aSánchez González, M.G.G.Y.
000099334 700__ $$aMarquina, V.
000099334 700__ $$aJiménez, I.
000099334 700__ $$aHernández, N.
000099334 700__ $$aBrouzet, B.
000099334 700__ $$aRamos, S.
000099334 700__ $$aLópez, A.
000099334 700__ $$aAndueza, J.A.
000099334 700__ $$aRomero, R.
000099334 700__ $$aRuíz, M.
000099334 700__ $$aCalvache, R.
000099334 700__ $$aLorca, M.T.
000099334 700__ $$aCalderón, L.
000099334 700__ $$0(orcid)0000-0001-6613-0359$$aArriaga, B.A.$$uUniversidad de Zaragoza
000099334 700__ $$aSierra, B.$$uUniversidad de Zaragoza
000099334 700__ $$aMojarro, E.M.
000099334 700__ $$aBécquer, L.T.
000099334 700__ $$aBurillo, G.
000099334 700__ $$aGarcía, L.L.
000099334 700__ $$aLaSalle, G.C.
000099334 700__ $$aUrbano, C.A.
000099334 700__ $$aSoto, A.B.G.
000099334 700__ $$aPadial, E.D.
000099334 700__ $$aFerrer, E.S.
000099334 700__ $$aGarrido, M.
000099334 700__ $$aLucas, F.J.
000099334 700__ $$aGaya, R.
000099334 700__ $$aBibiano, C.
000099334 700__ $$aMir, M.
000099334 700__ $$aRodríguez, B.
000099334 700__ $$aSánchez, N.
000099334 700__ $$aCarballo, J.L.
000099334 700__ $$aRodríguez-Adrada, E.
000099334 700__ $$aRodríguez, B.
000099334 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000099334 773__ $$g70 (2019), 24-32$$pEuropean Journal of Internal Medicine$$tEUROPEAN JOURNAL OF INTERNAL MEDICINE$$x0953-6205
000099334 8564_ $$s212372$$uhttps://zaguan.unizar.es/record/99334/files/texto_completo.pdf$$yPostprint
000099334 8564_ $$s2523425$$uhttps://zaguan.unizar.es/record/99334/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000099334 909CO $$ooai:zaguan.unizar.es:99334$$particulos$$pdriver
000099334 951__ $$a2021-02-24-12:54:49
000099334 980__ $$aARTICLE