Clinical Predictors Influencing the Length of Stay in Emergency Department Patients Presenting with Acute Heart Failure
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | Mean ± SD or n (%) |
---|---|
Age (years) | 74.2 ± 12.5 |
Gender | |
Male | 128 (62%) |
Female | 79 (38%) |
Ethnicity | |
Thai | 204 (99%) |
Non-Thai | 3 (1%) |
Underlying conditions | |
Chronic kidney disease | 99 (48%) |
Ischemic heart disease | 84 (41%) |
Diabetic Mellitus | 105 (51%) |
Atrial fibrillation | 84 (41%) |
NYHA class | |
0-I | 36 (17%) |
II | 54 (26%) |
III | 92 (45%) |
IV | 25 (12%) |
Vital signs | |
BT (Celsius) | 36.8 ± 0.6 |
SBP (mmHg) | 152.4 ± 36.0 |
HR (/min) | 90.6 ± 24.7 |
RR (/min) | 25.5 ± 5.0 |
Oxygen saturation (%) | 93.5 ± 5.4 |
Biochemistry | |
NT-ProBNP (pg/mL) | 14,240.1 ± 18,384.5 |
Serum Na (mmol/L) | 136.8 ± 5.8 |
Hb (g/dL) | 10.8 ± 2.1 |
Alb (g/dL) | 3.0 ± 0.5 |
Predictors | LOS (hours) Poisson Mean (SE) | Univariable Model | Multivariable Model | |||
---|---|---|---|---|---|---|
with Predictor | without Predictor | LOS Difference (hours) (95%CI) | p-Value | LOS Difference (hours) (95%CI) | p-Value | |
Demographic | ||||||
Age > 65 years | 148.7 (1.0) | 72.8 (1.2) | 75.9 (72.9,79.0) | <0.001 | 40.5 (−7.3, 88.3) | 0.097 |
Male | 132.3 (1.3) | 130.4 (1.0) | 1.8 (−1.4, 5.1) | 0.259 | 21.8 (−37.3, 80.9) | 0.469 |
Comorbidities | ||||||
Chronic kidney disease | 151.9 (1.2) | 112.1 (1.0) | 39.8 (36.6, 42.9) | <0.001 | 2.4 (−50.3, 55.2) | 0.928 |
Ischemic heart disease | 150.6 (1.3) | 117.8 (1.0) | 32.8 (29.5, 36.0) | <0.001 | 33.0 (−1.7, 81.7) | 0.185 |
Diabetic mellitus | 145.7 (1.2) | 116.1 (1.1) | 29.6 (26.5, 32.7) | <0.001 | 8.8 (−47.6, 65.2) | 0.759 |
Atrial fibrillation | 146.5 (1.3) | 120.7 (1.0) | 25.8 (22.6, 29.1) | <0.001 | 38.7 (−18.0, 95.4) | 0.181 |
NYHA functional class | ||||||
III/IV | 163.3 (1.2) | 89.3 (1.0) | 73.9 (70.9, 77.0) | <0.001 | 72.9 (23.9, 121.8) | 0.004 |
Vital signs | ||||||
SBP (mmHg) | ||||||
<100 | 104.5 (3.9) | 146.8 (1.3) | −42.4 (−50.4, −34.4) | <0.001 | −48.0 (−130.7, 34.6) | 0.255 |
100–140 | Reference | Reference | Reference | |||
>140 | 121.4 (1.0) | 146.8 (1.3) | −25.5 (−28.7, −22.2) | <0.001 | −14.9 (−67.4, 37.6) | 0.579 |
RR > 24 (/minute) | 180.2 (1.4) | 94.1 (0.9) | 86.0 (82.7, 89.3) | <0.001 | 80.7 (28.0, 133.3) | 0.003 |
Biochemistry | ||||||
NT-ProBNP ≥ 1800 pg/mL | 138.1 (0.9) | 95.5 (1.7) | 42.6 (38.9, 46.3) | <0.001 | 16.1 (−1.4, 73.6) | 0.583 |
Serum Na < 135 mmol/L | 154.0 (1.4) | 118.4 (0.9) | 35.6 (32.2, 39.0) | <0.001 | 7.7 (−50.1, 65.4) | 0.794 |
Hb < 10 g/dL | 174.5 (1.4) | 98.5 (0.9) | 76.0 (72.7, 79.3) | <0.001 | 60.4 (8.6, 112.3) | 0.022 |
Alb < 3.5 g/dL | 146.7 (0.9) | 59.5 (1.3) | 87.2 (84.1, 90.3) | <0.001 | 52.8 (3.6, 102.0) | 0.035 |
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Sricharoen, P.; Phinyo, P.; Patumanond, J.; Piyayotai, D.; Sittichanbuncha, Y.; Yuksen, C.; Likittanasombat, K.; Cheuathonghua, E. Clinical Predictors Influencing the Length of Stay in Emergency Department Patients Presenting with Acute Heart Failure. Medicina 2020, 56, 434. https://doi.org/10.3390/medicina56090434
Sricharoen P, Phinyo P, Patumanond J, Piyayotai D, Sittichanbuncha Y, Yuksen C, Likittanasombat K, Cheuathonghua E. Clinical Predictors Influencing the Length of Stay in Emergency Department Patients Presenting with Acute Heart Failure. Medicina. 2020; 56(9):434. https://doi.org/10.3390/medicina56090434
Chicago/Turabian StyleSricharoen, Pungkava, Phichayut Phinyo, Jayanton Patumanond, Dilok Piyayotai, Yuwares Sittichanbuncha, Chaiyaporn Yuksen, Khanchit Likittanasombat, and Ekpaiboon Cheuathonghua. 2020. "Clinical Predictors Influencing the Length of Stay in Emergency Department Patients Presenting with Acute Heart Failure" Medicina 56, no. 9: 434. https://doi.org/10.3390/medicina56090434