- 期刊
- OpenAccess
Prediction of Outcome of In-Hospital Mortality for Acute Heart Failure
摘要
Background: Prediction of in-hospital mortality in acute heart failure (AHF) is sought to evaluate the blood pressure and renal function. Acute heart failure with systolic pressure and impaired renal function is common but not well understood. Methods: We reviewed 187 patients with acute heart failure from 2013-2014. Then we apply validation of a risk stratification tool to predict in-hospital mortality for acute HF group. The analysis of the in-hospital mortality with acute heart failure group will based on BUN level, systolic blood pressure, and serum creatinine level. Results: There were 23 patients in the in-hospital mortality group and 164 patients in the survived group after hospitalization. The 3 physiological parameters were compared between in-hospital mortality and survival group from the validation of a risk stratification tool: systolic blood pressure (123.7 ± 30.1 vs. 143.7 ± 34.2 mmHg, p value = 0.009), blood urea nitrogen (57.2 ± 27.7 vs. 38.7 ± 24.7 mg/dL, p value = 0.001), serum creatinine (2.38 ± 1.91 vs. 2.06 ± 1.62 mg/dL, p value = 0.390). Finding from NTUH compared with ADHERE was the group with blood urea nitrogen 43 mg/dL, systolic BP ＜ 115 mmHg, and serum creatinine ＜ 2.75 mg/dL will be high risk of in-hospital mortality (50% in NTUH vs. 12.42% in ADHERE). In our validation of a risk stratification tool, the accuracy was 77.8 % by receiver-operator characteristic curve analysis. Conclusion: On the basis of these 3 variables- BUN level, systolic blood pressure, and serum creatinine level from the current analysis, the acute heart failure patient can be readily stratified into groups at high risk for in-hospital mortality.
延伸閱讀
- 廖思詠（2017）。Association of Hospital Quality Strategies with Processes and Outcomes of Care for Acute Myocardial Infarction〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201701508
- Ko, T., Yang, C. H., Mao, C. T., Kuo, L. T., Hsieh, M. J., Chen, D. Y., Wang, C. Y., Lin, Y. S., Hsieh, I. C., Chen, S. W., Hung, M. J., Cherng, W. J., & Chen, T. H. (2020). Effects of National Hospital Accreditation in Acute Coronary Syndrome on In-Hospital Mortality and Clinical Outcomes. Acta Cardiologica Sinica, 36(5), 416-427. https://doi.org/10.6515/ACS.202009_36(5).20200421A
- 施孟綾（2009）。The quality of life and its associated factors in patients with heart failure〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://doi.org/10.6832/KMU.2009.00047
- 張冠民、劉樹泉、董鈺琪（2010）。Health System Factors Associated with Outcome of Care for Acute Myocardial Infarction。醫護科技期刊，12(1)，26-34。https://doi.org/10.6563/TJHS.2010.12(1).3
- 施孟綾、陳幸眉、周汎澔、黃玉雰、呂居學、簡慧卿（2010）。Quality of Life and Associated Factors in Patients with Heart Failure。護理雜誌，57(6)，61-71。https://doi.org/10.6224/JN.57.6.61