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The predictors of long-term hospitalization in Turkish heart failure population: A subgroup analysis of journey heart failure-TR study: On behalf of journey heart failure-TR investigators
Umit Yasar Sinan1, Mehmet Erturk2, Erkan Yıldırım3, Duygu Koçyiğit4, Ilgın Karaca5, Faruk Ertas6, Ahmet Celik7, Fatih Aksoy8, Hasan Ali Gumrukcuoglu9, Umit Yuksek10, Mahir Cengiz11, Mehdi Zoghi12
1 Department of Cardiology, Istanbul University Institute of Cardiology, Istanbul, Turkey
2 Department of Cardiology, Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, Istanbul, Turkey
3 Department of Cardiology, Health Science University Erzurum Region Education and Research Hospital, Erzurum, Turkey
4 Department of Cardiology, Hacettepe University School of Medicine, Ankara, Turkey
5 Department of Cardiology, Firat University School of Medicine, Elazig, Turkey
6 Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
7 Department of Cardiology, Mersin University School of Medicine, Mersin, Turkey
8 Department of Cardiology, Afyonkarahisar Dinar State Hospital, Afyonkarahisar, Turkey
9 Department of Cardiology, Lokman Hekim Van Hospital, Van, Turkey
10 Department of Cardiology, Izmir Odemis State Hospital, Izmir, Turkey
11 Department of Cardiology, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
12 Department of Cardiology, Ege University School of Medicine, Izmir, Turkey
Correspondence Address:
Dr. Umit Yasar Sinan
Instructor, Department of Cardiology, Istanbul University Institute of Cardiology, Haseki Street, 29/31, Istanbul
Turkey
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJCA.IJCA_40_18
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Background: Heart failure (HF) is an important public health problem. We aimed to investigate the predictors of long-term hospitalization in Turkish HF population. Materials and Methods: Journey-HF-TR study is a multicenter, cross-sectional, noninvasive, and observational study that was conducted in intensive care unit (ICU), coronary care unit (CCU), and cardiology wards in seven geographical regions of Turkey. In this subgroup analysis, patients were classified as two groups according to inhospital stay called the patient with the shorter length of stay (S-LOS) (inhospital stay <5 days; S-LOS) and patients with longer LOS (L-LOS) (inhospital stay ≥5 days; L LOS). Results: The study group was consisted of 1606 patients (57.2% male, mean age: 67. 8 ± 13.0 years old). One thousand and thirty seven patients, whom in-hospital stay duration were recorded in case report form, were included in this analysis. There were 487 patients (32.1%) in S LOS group and 1030 patients (67.9%) in L LOS group. In multivariate analysis, correlation was present for NYHA functional capacity, CKD, ACS related HF, right HF, cardiogenic shock, invasive and noninvasive ventilation, and hemodynamic monetarization. The longer inhospital stay increases the probability of morbidity and mortality. Conclusion: We demonstrated that there was positive correlation between longer hospital stay and HF severity (NYHA III-IV), CKD, cardiogenic shock, right ventricular HF, and HF related to ACS. HFpEF patients have less in-hospital stay than HFrEF and HFmrEF patients. |
