Miró, ÒscarPadrosa, JoanTakagi, KojiGayat, ÉtienneGil, VíctorLlorens, PereMartín-Sánchez, Francisco JavierHerrero-Puente, PabloJacob, JavierMontero, María MirTost, JosepDíez, María Pilar LópezTraveria, LisseteTorres-Gárate, RaquelAlonso, María IsabelAgüera, CarmenValero, AmparoJavaloyes, PatriciaPeacock, W FrankBueno, HéctorMebazaa, AlexandreICA-SEMES Research GroupFuentes, MartaGil, CristinaAlonso, HéctorGarmila, PabloGarcía, Guillermo LlopisYáñez-Palma, María CeciliaLópez, Sergio IglesiasEscoda, RosaXipell, CarolinaSánchez, CarolinaGaytan, Josep MaríaPérez-Durá, María JoséSalvo, EvaPavón, JoséNoval, AntonioTorres, José ManuelLópez-Grima, María LuisaValero, AmparoJuan, Marian ÁngelesAguirre, AlfonsMorales, Julián ErrastiMasó, Silvia MínguezAlonso, María IsabelRuiz, FranciscoFranco, José MiguelMecina, Ana BelénTost, JosepSánchez, SusanaCarbajosa, VirginiaPiñera, PascualNicolás, José Andrés SánchezGarate, Raquel TorresAlquezar, AitorRizzi, Miguel AlbertoHerrera, SergioRoset, AlexCabello, IreneRichard, FernandoPérez, José María ÁlvarezDiez, María Pilar LópezÁlvarez, Joaquín VázquezGarcía, Belén PrietoSánchez González, María García García yMartaJavaloyes, PatriciaMarquina, VíctorJiménez, InmaculadaHernández, NéstorBrouzet, BenjamínRamos, SergioLópez, AnaAndueza, Juan AntonioRomero, RodolfoRuíz, MartínCalvache, RobertoLorca, María TeresaCalderón, LuisArriaga, Beatriz AmoresSierra, BeatrizMojarro, Enrique MartínBécquer, Lisette TraveríaBurillo, GuillermoGarcía, Lluís LlaugerLaSalle, Gerard CorominasUrbano, Carmen AgüeraSoto, Ana Belén GarcíaPadial, Elisa DelgadoFerrer, Ester SoyGarrido, ManuelLucas, Francisco JavierGaya, RutBibiano, CarlosMir, MaríaRodríguez, BeatrizSánchez, NataliaCarballo, José LuisRodríguez-Adrada, EstherRodríguez, Belén2023-01-252023-01-252019-08-23http://hdl.handle.net/10668/14446To 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.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Acute heart failureLength of hospitalisationMortalityPost-discharge outcomesReadmissionVulnerability phaseAgedAged, 80 and overFemaleHeart FailureHospital MortalityHospital UnitsHumansLength of StayMalePatient DischargePatient ReadmissionProportional Hazards ModelsRisk FactorsSpainStroke VolumeSurvival RateTime Factorsresearch article31451322open access10.1016/j.ejim.2019.08.0071879-0828https://zaguan.unizar.es/record/99334/files/texto_completo.pdf