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Research Article Open access CC BY 4.0

Predictors of Rehospitalization in Patients with Chronic Heart Failure a Single Center Study in Moroccan Patients

A. Couissi, Y. Ettagmouti, A. Boutaleb, T. Ettachfini, R. HABBAL

Cardiology and Angiology: An International Journal · pp. 110–113 · Published 15 May 2023

10.9734/ca/2023/v12i3332

Abstract

Chronic heart failure (HF) is a major problem of public health in Morocco with few studies exploring HF particularities in this country where the prevalence of HF is estimated to be around 2.2%. Objective: The aim of this study was to evaluate the correlation between frequency of rehospitalization in our population with age, left ventricular ejection fraction (LVEF), heart rate (HR), and QRS duration, Since the number of rehospitalizations is strongly correlated to mortality as shown by many studies. Materials and Methods: Patients with HF were enrolled in this retrospective case control study regardless of their LVEF, patients with recent (<3months) myocardial infarction were excluded. They were all examined and questioned in the heart failure unit of our hospital between the period of October 2022 and December 2022. The correlations were calculated by PEARSON index  using R Statistical Software. Results: 224 patients were included. The mean patient age was 59 years (57.2-63;IC 95%)  with a male predominance of 60.1 % (56.8-71; IC 95%). 35.5% and 32.2% of patients were treated for hypertension and diabetes respectively. The mean LVEF was 35.2% (33.96-36.91;IC 95%). A positive correlation was found between rehospitalization frequency and age and high heart rate               (+ 0.42 p = 0,04;+0.322, p<0.005) respectively . Conversely a negative correlation was found with LVEF (-0.312, p<0.005) while there was a positive correlation with QRS duration but without significance (+0.162 , p=0.03). Conclusion: This study shows strong correlation between rehospitalization and advanced age, higher HR and lower LVEF.

Heart failure rehospitalization left ventricular ejection fraction heart rate

References (12)

  1. 1 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure [DOI]
  2. 2 2021 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure [DOI]
  3. 3 Clinical Implications of QRS Duration in Patients Hospitalized With Worsening Heart Failure and Reduced Left Ventricular Ejection Fraction [DOI]
  4. 4 Epidemiology of Heart Failure [DOI]
  5. 5 Cost of inpatient heart failure care and 30-day readmissions in the United States [DOI]
  6. 6 Mortality and Readmission Rates After Heart Failure: A Systematic Review and Meta-Analysis [DOI]
  7. 7 Repeat Hospitalizations Predict Mortality in Patients With Heart Failure [DOI]
  8. 8 Recurrent Hospitalizations are Associated with Increased Mortality Across the Ejection Fraction Range in Heart Failure [DOI]
  9. 9 Incidence and Predictors of Rehospitalization of Acute Heart Failure Patients [DOI]
  10. 10 Epidemiology of Cardiovascular Diseases in Morocco: A Systematic Review [DOI]
  11. 11 Clinical Characteristics and Factors Associated with Heart Failure Readmission at a Tertiary Hospital in North-Eastern Tanzania [DOI]
  12. 12 Epidemiology of heart failure [DOI]

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