Factors influencing the length of hospital stay of patients with heart failure.

摘要: Introduction: Heart failure (HF) is characterised by frequent hospital admissions and prolonged length of stay. Admissions for HF have increased over the last decade while stay has decreased; reasons this change in are uncertain. This study investigates effect patient-related variables, in-hospital progress complications on stay. Methods: Patients admitted to Auckland Hospital general medical service randomised into Heart Failure Management Programme were included study. Results: One hundred ninety-seven patients study. Mean age 73 years, mean left ventricular ejection fraction 32%; 52% had one or more previous 75% New York Association class IV at admission. Median was 6 days (IQR 4, 9) which comparable national average from Zealand admission databases. Longer than stay, defined as >6 days, associated with presence peripheral congestion, duration treatment intravenous diuretic, development renal impairment, other acute problems admission, iatrogenic during social requiring intervention. Factors independently top quartile (>10 days) logistic regression oedema (OR 10.5), weight 1.3), iv diuretic 7.5), impairment 9.8), concurrent respiratory specific 3.8), intervention 6.8). Conclusions: Peripheral concomitant treatment, related a longer Multivariate models only partly explained variance suggesting importance pre-admission post-discharge factors, including healthcare environment, availability primary secondary care resources, threshold