RT Journal Article
T1 Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study.
A1 Miró, Òscar
A1 Padrosa, Joan
A1 Takagi, Koji
A1 Gayat, Étienne
A1 Gil, Víctor
A1 Llorens, Pere
A1 Martín-Sánchez, Francisco Javier
A1 Herrero-Puente, Pablo
A1 Jacob, Javier
A1 Montero, María Mir
A1 Tost, Josep
A1 Díez, María Pilar López
A1 Traveria, Lissete
A1 Torres-Gárate, Raquel
A1 Alonso, María Isabel
A1 Agüera, Carmen
A1 Valero, Amparo
A1 Javaloyes, Patricia
A1 Peacock, W Frank
A1 Bueno, Héctor
A1 Mebazaa, Alexandre
A1 ICA-SEMES Research Group, 
A1 Fuentes, Marta
A1 Gil, Cristina
A1 Alonso, Héctor
A1 Garmila, Pablo
A1 García, Guillermo Llopis
A1 Yáñez-Palma, María Cecilia
A1 López, Sergio Iglesias
A1 Escoda, Rosa
A1 Xipell, Carolina
A1 Sánchez, Carolina
A1 Gaytan, Josep María
A1 Pérez-Durá, María José
A1 Salvo, Eva
A1 Pavón, José
A1 Noval, Antonio
A1 Torres, José Manuel
A1 López-Grima, María Luisa
A1 Valero, Amparo
A1 Juan, Marian Ángeles
A1 Aguirre, Alfons
A1 Morales, Julián Errasti
A1 Masó, Silvia Mínguez
A1 Alonso, María Isabel
A1 Ruiz, Francisco
A1 Franco, José Miguel
A1 Mecina, Ana Belén
A1 Tost, Josep
A1 Sánchez, Susana
A1 Carbajosa, Virginia
A1 Piñera, Pascual
A1 Nicolás, José Andrés Sánchez
A1 Garate, Raquel Torres
A1 Alquezar, Aitor
A1 Rizzi, Miguel Alberto
A1 Herrera, Sergio
A1 Roset, Alex
A1 Cabello, Irene
A1 Richard, Fernando
A1 Pérez, José María Álvarez
A1 Diez, María Pilar López
A1 Álvarez, Joaquín Vázquez
A1 García, Belén Prieto
A1 Sánchez González, María García García yMarta
A1 Javaloyes, Patricia
A1 Marquina, Víctor
A1 Jiménez, Inmaculada
A1 Hernández, Néstor
A1 Brouzet, Benjamín
A1 Ramos, Sergio
A1 López, Ana
A1 Andueza, Juan Antonio
A1 Romero, Rodolfo
A1 Ruíz, Martín
A1 Calvache, Roberto
A1 Lorca, María Teresa
A1 Calderón, Luis
A1 Arriaga, Beatriz Amores
A1 Sierra, Beatriz
A1 Mojarro, Enrique Martín
A1 Bécquer, Lisette Travería
A1 Burillo, Guillermo
A1 García, Lluís Llauger
A1 LaSalle, Gerard Corominas
A1 Urbano, Carmen Agüera
A1 Soto, Ana Belén García
A1 Padial, Elisa Delgado
A1 Ferrer, Ester Soy
A1 Garrido, Manuel
A1 Lucas, Francisco Javier
A1 Gaya, Rut
A1 Bibiano, Carlos
A1 Mir, María
A1 Rodríguez, Beatriz
A1 Sánchez, Natalia
A1 Carballo, José Luis
A1 Rodríguez-Adrada, Esther
A1 Rodríguez, Belén
K1 Acute heart failure
K1 Length of hospitalisation
K1 Mortality
K1 Post-discharge outcomes
K1 Readmission
K1 Vulnerability phase
AB 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. Consecutive AHF patients hospitalised in 41 Spanish centres were grouped based on the LOH (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 vs. LOH  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 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. 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.
YR 2019
FD 2019-08-23
LK http://hdl.handle.net/10668/14446
UL http://hdl.handle.net/10668/14446
LA en
DS RISalud
RD Apr 20, 2025