Acute Decompensated Heart Failure Is Routinely Treated as a Cardiopulmonary Syndrome

摘要: Background Heart failure as recognized and treated in typical practice may represent a complex condition that defies discrete categorizations. To illuminate this complexity, we examined treatment strategies for patients hospitalized decompensated heart failure. We focused on the receipt of medications appropriate other acute conditions associated with shortness breath including asthma, pneumonia, exacerbated chronic obstructive pulmonary disease. Methods Results Using Premier Perspective®, studied adults principal discharge diagnosis evidence from 2009-2010 at 370 US hospitals. determined respiratory therapies during initial 2 days hospitalization daily hospital 3-5. also calculated adjusted odds in-hospital death, admission to intensive care unit, late intubation (intubation after day 2). Among 164,494 hospitalizations, 53% received first days: 37% short-acting inhaled bronchodilators, 33% antibiotics, 10% high-dose corticosteroids. Of these 87,319 over 60% continued receiving 2. Respiratory was more frequent among 60,690 hospitalizations lung disease. Treatment therapy higher all adverse outcomes. Conclusions Acute is administered than half Heart therefore regularly broader cardiopulmonary syndrome rather singular cardiac condition.