Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study
Abstract Background The Post Discharge Management of patients with heart failure impact significantly their incomes. This study aims to analyze the clinical findings and management at the first medical visit of these patients in our context. Material and methods This is a retrospective cross-section...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03113-1 |
| _version_ | 1797865620892549120 |
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| author | F. Sall A. Adoubi C. Boka N. Koffi P. Ouattara A. Dakoi J. B. Anzouan-Kacou |
| author_facet | F. Sall A. Adoubi C. Boka N. Koffi P. Ouattara A. Dakoi J. B. Anzouan-Kacou |
| author_sort | F. Sall |
| collection | DOAJ |
| description | Abstract Background The Post Discharge Management of patients with heart failure impact significantly their incomes. This study aims to analyze the clinical findings and management at the first medical visit of these patients in our context. Material and methods This is a retrospective cross-sectional descriptive study on consecutive files of patients hospitalized for heart failure from January to December 2018 in our Department. We analyse data from the first post discharge medical visit including medical visit time, clinical conditions and management. Results Three hundred and eight patients (mean age: 53.4 ± 17.0 years, 60% males) were hospitalized on median duration of 4 days [1–22 days]. One hundred and fifty-three patients (49,67%) were presented at the first medical visit after 66.53 days[0.06–369] on average, 10 (3.24%) patients died before this first medical visit and 145 (47.07%) had been lost to follow-up. The re-hospitalization and treatment non-compliance rates were 9.4% and 3.6%, respectively. Male gender (p = 0.048), renal failure (p = 0.010), and Vitamin K antagonist (VKA) /direct oral anticoagulant (DOAC) (p = 0.049) were the main lost to follow-up factors in univariate analysis without statistic signification in multivariate analysis. Hyponatremia (OR = 2.339; CI 95% = 0.908–6.027; p = 0.020) and atrial fibrillation (OR = 2.673; CI 95% = 1.321–5.408; p = 0.012) were the major mortality factors. Conclusion The management of patients with heart failure after discharge from hospital seems to be insufficient and inadequate. A specialized unit is required to optimize this management. |
| first_indexed | 2024-04-09T23:11:01Z |
| format | Article |
| id | doaj.art-a0ebd24ecf7e49efa697f731a080d6c4 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T23:11:01Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-a0ebd24ecf7e49efa697f731a080d6c42023-03-22T10:22:38ZengBMCBMC Cardiovascular Disorders1471-22612023-02-012311910.1186/s12872-023-03113-1Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center studyF. Sall0A. Adoubi1C. Boka2N. Koffi3P. Ouattara4A. Dakoi5J. B. Anzouan-Kacou6Université Alassane OuattaraUniversité Alassane OuattaraUniversité Félix Houphouët-BoignyUniversité Alassane OuattaraUniversité Alassane OuattaraUniversité Alassane OuattaraUniversité Félix Houphouët-BoignyAbstract Background The Post Discharge Management of patients with heart failure impact significantly their incomes. This study aims to analyze the clinical findings and management at the first medical visit of these patients in our context. Material and methods This is a retrospective cross-sectional descriptive study on consecutive files of patients hospitalized for heart failure from January to December 2018 in our Department. We analyse data from the first post discharge medical visit including medical visit time, clinical conditions and management. Results Three hundred and eight patients (mean age: 53.4 ± 17.0 years, 60% males) were hospitalized on median duration of 4 days [1–22 days]. One hundred and fifty-three patients (49,67%) were presented at the first medical visit after 66.53 days[0.06–369] on average, 10 (3.24%) patients died before this first medical visit and 145 (47.07%) had been lost to follow-up. The re-hospitalization and treatment non-compliance rates were 9.4% and 3.6%, respectively. Male gender (p = 0.048), renal failure (p = 0.010), and Vitamin K antagonist (VKA) /direct oral anticoagulant (DOAC) (p = 0.049) were the main lost to follow-up factors in univariate analysis without statistic signification in multivariate analysis. Hyponatremia (OR = 2.339; CI 95% = 0.908–6.027; p = 0.020) and atrial fibrillation (OR = 2.673; CI 95% = 1.321–5.408; p = 0.012) were the major mortality factors. Conclusion The management of patients with heart failure after discharge from hospital seems to be insufficient and inadequate. A specialized unit is required to optimize this management.https://doi.org/10.1186/s12872-023-03113-1Heart failurePostdischargeManagement |
| spellingShingle | F. Sall A. Adoubi C. Boka N. Koffi P. Ouattara A. Dakoi J. B. Anzouan-Kacou Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study BMC Cardiovascular Disorders Heart failure Postdischarge Management |
| title | Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study |
| title_full | Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study |
| title_fullStr | Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study |
| title_full_unstemmed | Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study |
| title_short | Post discharge management of heart failure patients: clinical findings at the first medical visit in a single-center study |
| title_sort | post discharge management of heart failure patients clinical findings at the first medical visit in a single center study |
| topic | Heart failure Postdischarge Management |
| url | https://doi.org/10.1186/s12872-023-03113-1 |
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