[Epidemiological events related to decompensated heart failure].

A Hermida Ameijeiras, M Pazo Núñez, R de la Fuente Cid, F L Lado Lado, L Hernández Fernández, I Rodríguez López
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引用次数: 17

Abstract

Objective: The present study aimed to evaluate the profile of patients with decompensated heart failure hospitalized in a tertiary hospital.

Methods: It was designed an observational and retrospective study where data from clinical records of patients suffering from heart failure along 2005 were registered randomly.

Results: 209 patients were collected (average age: 78.6 +/- 9.1; male: 52.4%) with a comorbidity rate of 87.55%. Almost one third of them have not stimation of systolic function and among the others 72.4% have it preserved. Most of decompensated were due to respiratory infections. Ischemic-hipertensive cardiopathy was the most frequent aetiology of systolic disfunction. Average stay was 12.9 days with a mortality rate of 9.56%. Its main risk factors were advanced stages in NYHA od Red Cross scales, as so as dementia or ictus.

Conclusions: The present study shows a patient hospitalized for decompensated heart failure roughly different from that one reported at clinical trials. It makes difficult to apply therapeutical interventions, previously well documented to be useful.

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[与失代偿性心力衰竭相关的流行病学事件]。
目的:了解某三级医院失代偿性心力衰竭患者的特点。方法:采用观察性和回顾性研究,随机选取2005年以来心力衰竭患者的临床资料。结果:共收集患者209例,平均年龄78.6±9.1岁;男性:52.4%),合并率87.55%。其中近三分之一的人没有收缩功能的估计,其中72.4%的人保留了收缩功能。大多数失代偿是由于呼吸道感染。缺血性高血压性心脏病是收缩功能障碍最常见的病因。平均住院时间12.9 d,死亡率9.56%。其主要危险因素是NYHA od红十字量表的晚期,以及痴呆或暴走。结论:本研究显示失代偿性心力衰竭住院患者与临床试验报道的患者大致不同。这使得治疗性干预措施难以应用,而这些干预措施以前已被充分证明是有用的。
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