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Year : 2018  |  Volume : 16  |  Issue : 2  |  Page : 52-55

Outcomes related to acute decompensated heart failure admissions: A pilot study

1 Department of General Medicine, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Ajay Kumar Mishra
Department of Internal Medicine, Unit V, Hospital Campus, Christian Medical College, Vellore - 632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_8_18

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Objectives: In this pilot study we aimed to study the various outcomes related to treatment, morbidity and mortality in patients presenting with acute decompensated heart failure (ADHF). Materials and Methods: In this retrospective, pilot study all patients discharged with the diagnosis of acute decompensated heart failure [ADHF] were included over a span of 6 month of the year 2016. We analysed the details of requirements of oxygen, ventilation, requirements of infusion of diuretics, inotropic agents, duration of stay, cost of treatment and outcomes for these patients. Results: Twenty eight consecutive patients with ADHF were enrolled. Mean age of the patients were 53 years and 64% of these were females. The mean ejection fraction of these patients was 39.4. Most common aetiology of heart failure was ischemia [40%]. In 93% of patients the trigger for acute worsening was identified. Respiratory tract infection was the commonest precipitator {39%]. Only 36% of patients received supplemental oxygen and almost every one received diuretics. The mean duration of hospital stay was 8 days, and the in hospital mortality was 14%. Conclusions: In conclusion this pilot study looked at the outcome details in patients admitted with acute decompensated heart failure. Our patients with ADHF were younger and ha higher prevalence of Ischaemic cardiomyopathy. Most had an identified precipitator, and the most common trigger of heart failure was respiratory infections.

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