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.
■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。