Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India

Background and Objectives: Studies around the world have shown that incidence of HF is increasing with the highest risk of mortality during their first admission and in the subsequent 1 year. Only a few Indian studies had looked at the predictors of in-hospital mortality in patients admitted with HF...

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Autores principales:	Faith Mariam John, Anisha Joy, Nevine Joseph Nellimala, K Muruga Bharathy, Turaka Vijay Prakash, Kevin John John, Alice Joan Mathuram, Sowmya Sathyendra, O C Abraham, I Ramya, Visalakshi Jayaseelan, Thambu David Sudarsanam
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	congestive heart failure mortality risk factors general medical ward Medicine R Nursing RT1-120
Acceso en línea:	https://doaj.org/article/fe4dc58a2eb3404bb5fb94138dd7d917
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spelling	oai:doaj.org-article:fe4dc58a2eb3404bb5fb94138dd7d9172021-11-12T10:09:47ZPredictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India2348-33342348-506X10.4103/cjhr.cjhr_70_20https://doaj.org/article/fe4dc58a2eb3404bb5fb94138dd7d9172021-01-01T00:00:00Zhttp://www.cjhr.org/article.asp?issn=2348-3334;year=2021;volume=8;issue=2;spage=125;epage=130;aulast=Johnhttps://doaj.org/toc/2348-3334https://doaj.org/toc/2348-506XBackground and Objectives: Studies around the world have shown that incidence of HF is increasing with the highest risk of mortality during their first admission and in the subsequent 1 year. Only a few Indian studies had looked at the predictors of in-hospital mortality in patients admitted with HF in patients admitted in medical wards. We have done a case control study to determine the risk factors for in-hospital mortality, in patients admitted with HF, in general medical ward, in a tertiary care centre in south India. Methods: We collected demographic data, clinical details and outcome data from case records. We performed a univariate analysis comparing those who died as compared to those who did not. Factors that were significant in the above, were entered into a logistic regression analysis to identify factors that independently predicted poor outcomes. Results: The in-hospital mortality rate in patients admitted with HF was 12.19%. On multivariate analysis, Systolic blood pressure < 115 mmHg {OR – 2.82, CI (1.29 – 6.19)}, serum lactate > 2 mmol/l {OR-2.61, CI (1.16 – 5.87)}, and GCS < 15 {OR 6.64, CI (2.26 – 19.51)} were statistically significant. Conclusion: Our study has shown that, in patients admitted with HF in general medical ward, at admission, low systolic blood pressure, high serum lactates, low GCS were predictors of in-hospital mortality.Faith Mariam JohnAnisha JoyNevine Joseph NellimalaK Muruga BharathyTuraka Vijay PrakashKevin John JohnAlice Joan MathuramSowmya SathyendraO C AbrahamI RamyaVisalakshi JayaseelanThambu David SudarsanamWolters Kluwer Medknow Publicationsarticle congestive heart failuremortalityrisk factorsgeneral medical ward MedicineRNursingRT1-120ENCHRISMED Journal of Health and Research, Vol 8, Iss 2, Pp 125-130 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congestive heart failure mortality risk factors general medical ward Medicine R Nursing RT1-120
spellingShingle	congestive heart failure mortality risk factors general medical ward Medicine R Nursing RT1-120 Faith Mariam John Anisha Joy Nevine Joseph Nellimala K Muruga Bharathy Turaka Vijay Prakash Kevin John John Alice Joan Mathuram Sowmya Sathyendra O C Abraham I Ramya Visalakshi Jayaseelan Thambu David Sudarsanam Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
description	Background and Objectives: Studies around the world have shown that incidence of HF is increasing with the highest risk of mortality during their first admission and in the subsequent 1 year. Only a few Indian studies had looked at the predictors of in-hospital mortality in patients admitted with HF in patients admitted in medical wards. We have done a case control study to determine the risk factors for in-hospital mortality, in patients admitted with HF, in general medical ward, in a tertiary care centre in south India. Methods: We collected demographic data, clinical details and outcome data from case records. We performed a univariate analysis comparing those who died as compared to those who did not. Factors that were significant in the above, were entered into a logistic regression analysis to identify factors that independently predicted poor outcomes. Results: The in-hospital mortality rate in patients admitted with HF was 12.19%. On multivariate analysis, Systolic blood pressure < 115 mmHg {OR – 2.82, CI (1.29 – 6.19)}, serum lactate > 2 mmol/l {OR-2.61, CI (1.16 – 5.87)}, and GCS < 15 {OR 6.64, CI (2.26 – 19.51)} were statistically significant. Conclusion: Our study has shown that, in patients admitted with HF in general medical ward, at admission, low systolic blood pressure, high serum lactates, low GCS were predictors of in-hospital mortality.
format	article
author	Faith Mariam John Anisha Joy Nevine Joseph Nellimala K Muruga Bharathy Turaka Vijay Prakash Kevin John John Alice Joan Mathuram Sowmya Sathyendra O C Abraham I Ramya Visalakshi Jayaseelan Thambu David Sudarsanam
author_facet	Faith Mariam John Anisha Joy Nevine Joseph Nellimala K Muruga Bharathy Turaka Vijay Prakash Kevin John John Alice Joan Mathuram Sowmya Sathyendra O C Abraham I Ramya Visalakshi Jayaseelan Thambu David Sudarsanam
author_sort	Faith Mariam John
title	Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
title_short	Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
title_full	Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
title_fullStr	Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
title_full_unstemmed	Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India
title_sort	predictors of in-hospital mortality in patients admitted with congestive heart failure (hf) in a general medical ward – a case-control study from a tertiary care centre in south india
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/fe4dc58a2eb3404bb5fb94138dd7d917
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Predictors of in-hospital mortality in patients admitted with congestive Heart failure (HF) in a general medical ward – A case-control study from a tertiary care centre in South India

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