埃塞俄比亚东部三级医院急性心力衰竭患者心源性肺水肿负担及影响因素

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-11-09 eCollection Date: 2023-01-01 DOI:10.2147/OAEM.S436352
Natanim Degefu, Abera Jambo, Shambel Nigusse, Mesay Dechasa, Tigist Gashaw, Melaku Getachew
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引用次数: 0

摘要

背景:尽管心源性肺水肿是急性心力衰竭(AHF)最常见的表型,但对其负担和相关因素的研究有限。本研究旨在评估埃塞俄比亚东部一家三级医院收治的急性心力衰竭患者的负担和心源性肺水肿的影响因素。患者和方法:对2018年2月1日至2023年1月31日期间AHF患者的医疗记录(n = 276)进行了一项基于机构的横断面研究。采用简单的随机抽样技术从研究人群中选择参与者。采用双变量和多变量logistic回归分析来评估与心源性肺水肿发展相关的因素。p值≤0.05认为有统计学意义。结果:AHF患者心源性肺水肿发生率为47.8%。农村居住(调整优势比为9.54)、吸烟(调整优势比为3.17)、合并症(调整优势比为2.1)和潜在心血管疾病(缺血性心脏病、慢性风湿性瓣膜病和高血压心脏病,调整优势比分别为6.71、8.47和12.07)与AHF患者心源性肺水肿发生显著相关。结论:近半数AHF患者为心源性肺水肿。作为农村居民,吸烟、合并症和潜在的心脏疾病与AHF患者心源性肺水肿的发生显著相关。
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The Burden and Contributing Factors of Cardiogenic Pulmonary Edema Among Acute Heart Failure Patients Admitted to Tertiary Hospital, Eastern Ethiopia.

Background: Despite cardiogenic pulmonary edema is the most common phenotype of acute heart failure (AHF), studies on its burden and associated factors are limited. This study aimed to assess the burden and contributing factors of cardiogenic pulmonary edema in patients with acute heart failure admitted to a tertiary hospital in eastern Ethiopia.

Patients and methods: An institution-based cross-sectional study was conducted on the medical records (n = 276) of patients with AHF between February 01, 2018, and January 31, 2023. A simple random sampling technique was used to select participants from the study population. Bivariable and multivariable logistic regression analyses were used to assess factors associated with the development of cardiogenic pulmonary edema. A P-value ≤0.05 was considered as statistically significant.

Results: The prevalence of cardiogenic pulmonary edema was 47.8% in AHF patients. Rural residence (adjusted odds ratio (AOR),9.54), smoking (AOR,3.17), comorbidity (AOR,2.1), and underlying cardiovascular disease (ischemic heart disease, chronic rheumatic valvular heart disease, and hypertensive heart disease with AOR: 6.71, 8.47, and 12.07, respectively) were significantly associated with the development of cardiogenic pulmonary edema in patients with AHF.

Conclusion: Nearly half of the patients with AHF had cardiogenic pulmonary edema. Being a rural dweller, cigarette smoking, comorbidities, and underlying cardiac illness were significantly associated with the development of cardiogenic pulmonary edema in patients with AHF.

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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
期刊最新文献
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