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 Miro, Oscar
A1 Padrosa, Joan
A1 Takagi, Koji
A1 Gayat, Etienne
A1 Gil, Victor
A1 Llorens, Pere
A1 Martin-Sanchez, Francisco Javier
A1 Herrero-Puente, Pablo
A1 Jacob, Javier
A1 Montero, Maria Mir
A1 Tost, Josep
A1 Lopez-Diez, Maria Pilar
A1 Traveria, Lissete
A1 Torres-Garate, Raquel
A1 Alonso, Maria Isabel
A1 Aguera, Carmen
A1 Valero, Amparo
A1 Javaloyes, Patricia
A1 Peacock, W Frank
A1 Bueno, Hector
A1 Mebazaa, Alexandre
A1 Fuentes, Marta
A1 Gil, Cristina
A1 Alonso, Hector
A1 Garmila, Pablo
A1 Llopis-Garcia, Guillermo
A1 Yañez-Palma, Maria Cecilia
A1 Iglesias-Lopez, Sergio
A1 Escoda, Rosa
A1 Xipell, Carolina
A1 Sanchez, Carolina
A1 Gaytan, Josep Maria
A1 Perez-Dura, Maria Jose
A1 Salvo, Eva
A1 Pavon, Jose
A1 Noval, Antonio
A1 Torres, Jose Manuel
A1 Lopez-Grima, Maria Luisa
A1 Valero, Amparo
A1 Juan, Marian Angeles
A1 Aguirre, Alfons
A1 Morales, Julian Errasti
A1 Minguez-Maso, Silvia
A1 Alonso, Maria Isabel
A1 Ruiz, Francisco
A1 Franco, Jose Miguel
A1 Mecina, Ana Belen
A1 Tost, Josep
A1 Sanchez, Susana
A1 Carbajosa, Virginia
A1 Piñera, Pascual
A1 Sanchez-Nicolas, Jose Andres
A1 Torres-Garate, Raquel
A1 Alquezar, Aitor
A1 Rizzi, Miguel Alberto
A1 Herrera, Sergio
A1 Roset, Alex
A1 Cabello, Irene
A1 Richard, Fernando
A1 Alvarez-Perez, Jose Maria
A1 Lopez-Diez, Maria Pilar
A1 Vazquez-Alvarez, Joaquin
A1 Prieto-Garcia, Belen
A1 Sanchez-Gonzalez, Maria
A1 Javaloyes, Patricia
A1 Marquina, Victor
A1 Jimenez, Inmaculada
A1 Hernandez, Nestor
A1 Brouzet, Benjamin
A1 Ramos, Sergio
A1 Lopez, Ana
A1 Andueza, Juan Antonio
A1 Romero, Rodolfo
A1 Ruiz, Martin
A1 Calvache, Roberto
A1 Lorca, Maria Teresa
A1 Calderon, Luis
A1 Amores-Arriaga, Beatriz
A1 Sierra, Beatriz
A1 Martin-Mojarro, Enrique
A1 Traveria-Becquer, Lisette
A1 Burillo, Guillermo
A1 Garcia, Lluis Llauger
A1 Corominas-LaSalle, Gerard
A1 Aguera-Urbano, Carmen
A1 Garcia-Soto, Ana Belen
A1 Delgado-Padial, Elisa
A1 Ferrer, Ester Soy
A1 Garrido, Manuel
A1 Lucas, Francisco Javier
A1 Gaya, Rut
A1 Bibiano, Carlos
A1 Mir, María
A1 Rodriguez, Beatriz
A1 Sanchez, Natalia
A1 Carballo, Jose Luis
A1 Rodriguez-Adrada, Esther
A1 Rodriguez, Belen
K1 Acute heart failure
K1 Length of hospitalisation
K1 Mortality
K1 Post-discharge outcomes
K1 Readmission
K1 Vulnerability phase
K1 Área de Gestión Sanitaria Sur de Sevilla
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.
PB Elsevier
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 Sep 27, 2025