Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2022 Jul 22;17(7):e0270809. doi: 10.1371/journal.pone.0270809. eCollection 2022.
A prolonged length of hospital stay during heart failure-related hospitalization results in frequent readmission and high mortality. The study was aimed to determine the length of hospital stays and associated factors among heart failure patients.
A prospective hospital-based cross-sectional study was carried out to determine the length of hospital stay and associated factors among heart failure patients admitted to the medical ward of the University of Gondar Comprehensive Specialized Hospital from January 2019 to June 2020. Multiple linear regression was used to identify factors associated with length of hospital stay and reported with a 95% Confidence Interval (CI). P-value ≤ 0.05 was considered as statistically significant to declare the association.
A total of 263 heart failure patients (mean age: 51.08 ± 19.24 years) were included. The mean length of hospital stay was 17.29 ± 7.27 days. Number of comorbidities (B = 1.494, p < 0.001), admission respiratory rate (B = -0.242, p = 0.009), serum potassium (B = -1.525, p = 0.005), third heart sound (B = -4.118, p = 0.005), paroxysmal nocturnal dyspnea (B = 2.494, p = 0.004), causes of acute heart failure; hypertensive heart disease (B = -6.349, p = 0.005), and precipitating factors of acute heart failure; infection (B = 2.867, p = 0.037) were significantly associated with length of hospital stay. Number of comorbidities, paroxysmal nocturnal dyspnea, and precipitating factors of AHF specifically infection were associated with a prolonged length of hospital stay.
Heart failure patients admitted to the medical ward had prolonged hospital stays. Thus, clinicians would be aware of the clinical features contributing to the longer hospital stay and implementation of interventions or strategies that could reduce the heart failure patient's hospital stay is necessary.
心力衰竭相关住院期间住院时间延长会导致频繁再入院和高死亡率。本研究旨在确定心力衰竭患者的住院时间和相关因素。
本前瞻性医院横断面研究旨在确定 2019 年 1 月至 2020 年 6 月期间入住 Gondar 大学综合专科医院内科病房的心力衰竭患者的住院时间和相关因素。使用多元线性回归确定与住院时间相关的因素，并以 95%置信区间（CI）报告。P 值≤0.05 被认为具有统计学意义以表明关联。
共纳入 263 例心力衰竭患者（平均年龄：51.08±19.24 岁）。平均住院时间为 17.29±7.27 天。合并症数量（B=1.494，p＜0.001）、入院呼吸频率（B=-0.242，p=0.009）、血清钾（B=-1.525，p=0.005）、第三心音（B=-4.118，p=0.005）、阵发性夜间呼吸困难（B=2.494，p=0.004）、急性心力衰竭的病因；高血压性心脏病（B=-6.349，p=0.005）、急性心力衰竭的诱发因素；感染（B=2.867，p=0.037）与住院时间显著相关。合并症数量、阵发性夜间呼吸困难和急性心力衰竭的诱发因素（特别是感染）与住院时间延长有关。
入住内科病房的心力衰竭患者住院时间延长。因此，临床医生应该意识到导致住院时间延长的临床特征，并实施干预或策略以减少心力衰竭患者的住院时间。
