000			nab a22 7a 4500
999			_c17974 _d17974
003			PC17974
005			20250530124613.0
008			250530b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_93036 _aBueno Zamora, Hector José _eCardiología
245	0	0	_aTiempo de estancia prolongado en los pacientes ingresados por insuficiencia cardiaca aguda. _h[artículo]
260			_bGaceta sanitaria, _c2016
300			_a30(3):191-200.
500			_aFormato Vancouver: Martín Sánchez FJ, Carbajosa V, Llorens P, Herrero P, Jacob J, Miró Ò et al; en representación del grupo ICA-SEMES. Tiempo de estancia prolongado en los pacientes ingresados por insuficiencia cardiaca aguda. Gac Sanit. 2016 May-Jun;30(3):191-200.
501			_a PMID: 26900100
504			_aContiene 34 referencias
520			_aObjective: To identify the factors associated with prolonged length of hospital stay in patients admitted for acute heart failure. Methods: Multipurpose observational cohort study including patients from the EAHFE registry admitted for acute heart failure in 25 Spanish hospitals. Data were collected on demographic and clinical variables and on the day and place of admission. The primary outcome was length of hospital stay longer than the median. Results: We included 2,400 patients with a mean age of 79.5 (9.9) years; of these, 1,334 (55.6%) were women. Five hundred and ninety (24.6%) were admitted to the short stay unit (SSU), 606 (25.2%) to cardiology, and 1,204 (50.2%) to internal medicine or gerontology. The mean length of hospital stay was 7.0 (RIC 4-11) days. Fifty-eight (2.4%) patients died and 562 (23.9%) were readmitted within 30 days after discharge. The factors associated with prolonged length of hospital stay were chronic pulmonary disease; being a device carrier; having an unknown or uncommon triggering factor; the presence of renal insufficiency, hyponatremia and anaemia in the emergency department; not being admitted to an SSU or the lack of this facility in the hospital; and being admitted on Monday, Tuesday or Wednesday. The factors associated with length of hospital stay≤7days were hypertension, having a hypertensive episode, or a lack of treatment adherence. The area under the curve of the mixed model adjusted to the center was 0.78 (95% CI: 0.76-0.80; p<0.001). Conclusions: A series of factors is associated with prolonged length of hospital stay and should be taken into account in the management of acute heart failure.
710			_9119 _aServicio de Cardiología
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17974.pdf _ySolicitar documento
942			_2ddc _cART _n0