Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema
Background: Despite significant advances in the treatment of heart failure, the prognosis of acute cardiogenic pulmonary edema (ACPE) continues to be a serious problem. The objective of this study is to determine the risk factors affecting in-hospital mortality in patients with ACPE. Methods: We enr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Rabia Yılmaz
2021-03-01
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| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1486847 |
| _version_ | 1827980192763609088 |
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| author | Murat Gül Hüseyin Mutlu Kamil Kokulu Ekrem Taha Sert |
| author_facet | Murat Gül Hüseyin Mutlu Kamil Kokulu Ekrem Taha Sert |
| author_sort | Murat Gül |
| collection | DOAJ |
| description | Background: Despite significant advances in the treatment of heart failure, the prognosis of acute cardiogenic pulmonary edema (ACPE) continues to be a serious problem. The objective of this study is to determine the risk factors affecting in-hospital mortality in patients with ACPE.
Methods: We enrolled 305 patients who were hospitalized with cardiogenic pulmonary edema as a diagnosis. Clinical, biochemical and echocardiographic variables were collected and analysed. The patients were divided into two groups according to the presence of mortality. Both groups were evaluated in terms of clinical features during admission to the emergency department (ED) and factors affecting in-hospital mortality.
Results: Forty-two patients died and the mortality rate was 13.8%. To determine the factors affecting mortality, multiple logistic regression analysis was performed. In the regression analysis, it was seen that age at admission to the ED (OR:1.75, 95% CI 1.18-3.05, p:0.014), systolic blood pressure (OR:0.95, 95% CI 0.31-0.98, p:0.040), presence of acute myocardial infarction (OR:4.17, 95% CI 1.85-7.13, p:0.001), positive troponin (OR:5.47, 95% Cl 1.07-7.46, p:0.011), atrial fibrillation rhythm (OR;3.16, 95% CI 1.81-8.02, p:0.010), inotropic drug usage (OR;5.61, 95% CI 1.87-9.24, p:0.013) increased in-hospital mortality.
Conclusion: Our findings could help clinicians in identifying patients with poor prognosis early in the presence of identified risk factors. |
| first_indexed | 2024-04-09T21:49:46Z |
| format | Article |
| id | doaj.art-570e882efee44427bab91d3ff0f369f8 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:49:46Z |
| publishDate | 2021-03-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-570e882efee44427bab91d3ff0f369f82023-03-24T19:43:24ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-03-0111220320710.16899/jcm.8532371809Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edemaMurat Gül0Hüseyin Mutlu1Kamil Kokulu2Ekrem Taha Sert3Aksaray University Medical SchoolAksaray University Medical SchoolAksaray University Medical SchoolAksaray Üniversity Medical SchoolBackground: Despite significant advances in the treatment of heart failure, the prognosis of acute cardiogenic pulmonary edema (ACPE) continues to be a serious problem. The objective of this study is to determine the risk factors affecting in-hospital mortality in patients with ACPE. Methods: We enrolled 305 patients who were hospitalized with cardiogenic pulmonary edema as a diagnosis. Clinical, biochemical and echocardiographic variables were collected and analysed. The patients were divided into two groups according to the presence of mortality. Both groups were evaluated in terms of clinical features during admission to the emergency department (ED) and factors affecting in-hospital mortality. Results: Forty-two patients died and the mortality rate was 13.8%. To determine the factors affecting mortality, multiple logistic regression analysis was performed. In the regression analysis, it was seen that age at admission to the ED (OR:1.75, 95% CI 1.18-3.05, p:0.014), systolic blood pressure (OR:0.95, 95% CI 0.31-0.98, p:0.040), presence of acute myocardial infarction (OR:4.17, 95% CI 1.85-7.13, p:0.001), positive troponin (OR:5.47, 95% Cl 1.07-7.46, p:0.011), atrial fibrillation rhythm (OR;3.16, 95% CI 1.81-8.02, p:0.010), inotropic drug usage (OR;5.61, 95% CI 1.87-9.24, p:0.013) increased in-hospital mortality. Conclusion: Our findings could help clinicians in identifying patients with poor prognosis early in the presence of identified risk factors.https://dergipark.org.tr/tr/download/article-file/1486847cardiogenic pulmonary edemamortalityemergency departmentclinical presentationkardiyojenik pulmoner ödemmortaliteacil servisklinik tablo |
| spellingShingle | Murat Gül Hüseyin Mutlu Kamil Kokulu Ekrem Taha Sert Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema Journal of Contemporary Medicine cardiogenic pulmonary edema mortality emergency department clinical presentation kardiyojenik pulmoner ödem mortalite acil servis klinik tablo |
| title | Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| title_full | Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| title_fullStr | Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| title_full_unstemmed | Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| title_short | Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| title_sort | predictors of in hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema |
| topic | cardiogenic pulmonary edema mortality emergency department clinical presentation kardiyojenik pulmoner ödem mortalite acil servis klinik tablo |
| url | https://dergipark.org.tr/tr/download/article-file/1486847 |
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