To investigate whether the timing of a previous hospital admission for acute heart failure (AHF) is a prognostic factor for AHF patients revisiting the emergency department (ED) in the subsequent 12-month follow-up. All ED AHF patients enrolled in the previously described EAHFE registry were stratified by the presence or absence of an AHF hospitalization admission in the prior 12 months. The primary outcome was 12-month all-cause mortality post ED visit. ⋯ The 12-month mortality was 37% (41.7% vs. 28.3% p < 0.001), hospital admission was 76.1% (78.8% vs. 71.1% p < 0.001) ACE was 60.2% (65.1% vs. 50.5% p < 0.001). In the adjusted analysis, patients with AHF hospitalization in the prior 12 months had a higher mortality (HR = 1.41; 95% CI 1.27-1.56), 90-day ACE rate (HR = 1.45: 95% CI 1.32-1.59), and more hospital admissions (OR = 1.32; 95% CI 1.16-1.51), with shorter times since the previous hospitalization being related to the outcomes analyzed. One-year mortality, adverse events at 90 days, and readmission rates are increased in ED AHF patients previously admitted within the last 12 months.
C J Romero-Carrete, A Alquézar-Arbé, S Herrera Mateo, Pere Llorens, Víctor Gil, David Curtelin, Javier Jacob, Pablo Herrero, María Pilar Lopez Díez, Lluís Llauger, María Luisa López-Grima, Cristina Gil, Jo... more sep Tost, Agüera UrbanoCarmenCEmergency Department, Hospital Costa del Sol, Marbella, Málaga, Spain., Begoña Espinosa, M Campos-Meneses, G Fernandez, A Torres, Rosa Escoda, Enrique Martín, José Manuel Garrido, Francisco Javier Lucas-Imbernón, Esther Rodríguez-Adrada, Torres GarateRaquelREmergency Department, Hospital Doctor Severo Ochoa, Leganés, Madrid, Spain., Juan Antonio Andueza, Frank Peacock, and Òscar Miró. less
Emergency Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Catalonia, Spain. cj.romero.carrete@gmail.com.
Intern Emerg Med. 2024 Jun 1; 19 (4): 108910981089-1098.