PDF(Pubmed)
Abstract：
UNASSIGNED: Studies of acute heart failure (AHF) outcomes suggest that there are different predictors of mortality depending on region, ethnicity, and gender.
UNASSIGNED: The purpose of this study was to identify predictors of six months\' post discharge outcome among AHF patients in a Nigerian tertiary hospital.
UNASSIGNED: This study was a prospective observational study conducted at the cardiology unit of the Department of Medicine at the University College Hospital Ibadan. One hundred and sixty AHF participants ≥ 18 years old were recruited.
UNASSIGNED: The mean age of the cohort was 58.0±15.1 years and most were males (59.4%). The independent predictors for death outcome after six months of discharge for AHF and the adjusted hazard ratio) (95% CI) were male gender 2.77 (1.17 -6.56); p =0.020 ; systolic blood pressure (mmHg) 0.98 (0.96 - 0.99); p = 0.011 ; and the presence of hepatomegaly 2.58 (1.02 - 6.51); p = 0.045 . Independent predictors for readmission or rehospitalization within 6 months after discharge were presence of right abdominal pain adjusted HR (95% CI): 2.07(1.14 - 3.76), p=0.017; SBP 0.98(0.96 - 0.99), p=0.005. Independent predictors for composite endpoint were male gender: adjusted HR: 2.08 (1.16 - 3.72), p= 0.014 and pericardial effusion and tamponade: 5.31(1.79 - 15.74), p=0.003 .
UNASSIGNED: The study provided an insight into the factors contributing to outcomes six-month after admission in a tertiary centre in South-Western Nigeria, and it highlighted the predictive role of systolic blood pressure.
UNASSIGNED: The purpose of this study was to identify predictors of six months\' post discharge outcome among AHF patients in a Nigerian tertiary hospital.
UNASSIGNED: This study was a prospective observational study conducted at the cardiology unit of the Department of Medicine at the University College Hospital Ibadan. One hundred and sixty AHF participants ≥ 18 years old were recruited.
UNASSIGNED: The mean age of the cohort was 58.0±15.1 years and most were males (59.4%). The independent predictors for death outcome after six months of discharge for AHF and the adjusted hazard ratio) (95% CI) were male gender 2.77 (1.17 -6.56); p =0.020 ; systolic blood pressure (mmHg) 0.98 (0.96 - 0.99); p = 0.011 ; and the presence of hepatomegaly 2.58 (1.02 - 6.51); p = 0.045 . Independent predictors for readmission or rehospitalization within 6 months after discharge were presence of right abdominal pain adjusted HR (95% CI): 2.07(1.14 - 3.76), p=0.017; SBP 0.98(0.96 - 0.99), p=0.005. Independent predictors for composite endpoint were male gender: adjusted HR: 2.08 (1.16 - 3.72), p= 0.014 and pericardial effusion and tamponade: 5.31(1.79 - 15.74), p=0.003 .
UNASSIGNED: The study provided an insight into the factors contributing to outcomes six-month after admission in a tertiary centre in South-Western Nigeria, and it highlighted the predictive role of systolic blood pressure.
摘要：
■对急性心力衰竭（AHF）结果的研究表明，不同地区的死亡率有不同的预测因子，种族,和性别。
■本研究的目的是确定尼日利亚三级医院AHF患者出院后6个月预后的预测因素。
本研究是一项前瞻性观察性研究，在伊巴丹大学学院医院医学部的心脏病学部门进行。招募了160名≥18岁的AHF参与者。
■该队列的平均年龄为58.0±15.1岁，大多数为男性（59.4％）。AHF出院六个月后死亡结局的独立预测因子和调整后的风险比（95％CI）为男性2.77（1.17-6.56）；p=0.020；收缩压（mmHg）0.98（0.96-0.99）；p=0.011；肝肿大的存在2.58（1.02-6.51）；p=0.045。出院后6个月内再入院或再住院的独立预测因素是右腹痛的存在，校正后HR（95％CI）：2.07（1.14-3.76），p=0.017；SBP0.98（0.96-0.99），p=0.005。复合终点的独立预测因子为男性：调整后的HR：2.08（1.16-3.72），p=0.014和心包积液和填塞：5.31（1.79-15.74），p=0.003。
■这项研究提供了对在尼日利亚西南部的一个三级中心入院后6个月影响结果的因素的见解。它强调了收缩压的预测作用。
■本研究的目的是确定尼日利亚三级医院AHF患者出院后6个月预后的预测因素。
本研究是一项前瞻性观察性研究，在伊巴丹大学学院医院医学部的心脏病学部门进行。招募了160名≥18岁的AHF参与者。
■该队列的平均年龄为58.0±15.1岁，大多数为男性（59.4％）。AHF出院六个月后死亡结局的独立预测因子和调整后的风险比（95％CI）为男性2.77（1.17-6.56）；p=0.020；收缩压（mmHg）0.98（0.96-0.99）；p=0.011；肝肿大的存在2.58（1.02-6.51）；p=0.045。出院后6个月内再入院或再住院的独立预测因素是右腹痛的存在，校正后HR（95％CI）：2.07（1.14-3.76），p=0.017；SBP0.98（0.96-0.99），p=0.005。复合终点的独立预测因子为男性：调整后的HR：2.08（1.16-3.72），p=0.014和心包积液和填塞：5.31（1.79-15.74），p=0.003。
■这项研究提供了对在尼日利亚西南部的一个三级中心入院后6个月影响结果的因素的见解。它强调了收缩压的预测作用。
