Open AccessLeading predictors of early and late hospital mortality among patients with acute decompensated heart failure and ways to improve prognosis
Author(s) -
Д. С. Поляков,
И. В. Фомин,
Н. Г. Виноградова,
Ю. В. Бадин,
Е. В. Щербинина,
А. Р. Вайсберг
Publication year - 2021
Publication title -
ûžno-rossijskij žurnal terapevtičeskoj praktiki
Language(s) - English
Resource type - Journals
ISSN - 2712-8156
DOI - 10.21886/2712-8156-2021-2-1-40-49
Subject(s) - acute decompensated heart failure , medicine , inotrope , heart failure , pulmonary edema , cardiology , retrospective cohort study , blood pressure , creatinine , intensive care medicine , acute kidney injury , pneumonia , emergency medicine , lung
Objective: to analyze the leading causes of early (first two days) and late (after the second day) hospital mortality among of patients with acute decompensated heart failure. Materials and methods: a retrospective single-center cohort (n=718) of patients with acute decompensated heart failure. Results: predictors of prognosis for early hospital mortality were pulmonary edema, hepatomegaly, the need for inotropic and vasopressive drugs, the level of systolic blood pressure and creatinine. Predictors of prognosis for late hospital mortality were pulmonary edema, the need for inotropic drugs, community-acquired pneumonia, and laboratory markers of acute renal injury. Conclusion: Tactical approaches are proposed to reduce hospital mortality of patients with acute decompensated heart failure.