PMID- 29582879
OWN - NLM
STAT- MEDLINE
DCOM- 20190204
LR  - 20230926
IS  - 1680-0745 (Electronic)
IS  - 1995-1892 (Print)
IS  - 1015-9657 (Linking)
VI  - 29
IP  - 1
DP  - 2018 Jan/Feb
TI  - Short-term rehospitalisation or death and determinants after admission for acute 
      heart failure in a cohort of African patients in Port Harcourt, southern Nigeria.
PG  - 46-50
LID - 10.5830/CVJA-2017-038 [doi]
AB  - BACKGROUND: Heart failure (HF) is a major health burden globally and contributes 
      significantly to morbidity and mortality related to cardiovascular disease. The 
      aim of this study was to determine the outcome, and factors determining these 
      outcomes in patients admitted for acute HF and followed up for six months. 
      METHOD: This was a hospital-based, prospective study. Subjects included 
      consecutive patients with a confirmed diagnosis of acute HF admitted to the 
      medical wards of the University of Port Harcourt Teaching Hospital (UPTH) in 
      Nigeria over one year. All had a full physical examination and relevant 
      investigations, including echocardiography. Subjects were followed up for six 
      months and reassessed for outcome/endpoint, which was rehospitalisation or death. 
      Factors that predicted these outcomes were also determined. RESULTS: There were 
      160 subjects, 84 females and 76 males, age range 20 to 87 years, mean age 52.49 +/- 
      13.89 years. Sixteen subjects (10.0%) were lost to follow up, 66 (41.3%) showed 
      clinical improvement, 57 (35.6%) were rehospitalised, while 21 (13.1%) died. 
      Determinants of rehospitalisation were New York Heart Association (NYHA) class, 
      heart failure type, haemoglobin level at presentation and estimated glomerular 
      filtration rate (eGFR). Determinants of mortality were NYHA class and haemoglobin 
      level at presentation. CONCLUSION: Heart failure rehospitalisation and mortality 
      rates of 35.6 and 13.1%, respectively, were high compared to developed countries.
FAU - Akpa, Maclean R
AU  - Akpa MR
AD  - Cardiovascular Division, Department of Internal Medicine, Faculty of Clinical 
      Sciences, University of Port Harcourt, Port Harcourt, Nigeria. Email: 
      akpamac@yahoo.com; macakpa12@gmail.com; aclean.akpa@uniport.edu.ng.
FAU - Iheji, Okechukwu
AU  - Iheji O
AD  - Cardiovascular Division, Department of Internal Medicine, University of Port 
      Harcourt Teaching Hospital, Port Harcourt, Nigeria.
LA  - eng
PT  - Journal Article
PL  - South Africa
TA  - Cardiovasc J Afr
JT  - Cardiovascular journal of Africa
JID - 101313864
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cause of Death
MH  - Female
MH  - Health Status
MH  - Heart Failure/diagnosis/*mortality/physiopathology/therapy
MH  - Humans
MH  - *Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Nigeria/epidemiology
MH  - *Patient Readmission
MH  - Prognosis
MH  - Prospective Studies
MH  - Risk Factors
MH  - Time Factors
MH  - Young Adult
PMC - PMC6002800
EDAT- 2018/03/28 06:00
MHDA- 2019/02/05 06:00
PMCR- 2018/01/01
CRDT- 2018/03/28 06:00
PHST- 2016/08/17 00:00 [received]
PHST- 2017/08/12 00:00 [accepted]
PHST- 2018/03/28 06:00 [entrez]
PHST- 2018/03/28 06:00 [pubmed]
PHST- 2019/02/05 06:00 [medline]
PHST- 2018/01/01 00:00 [pmc-release]
AID - 10.5830/CVJA-2017-038 [doi]
PST - ppublish
SO  - Cardiovasc J Afr. 2018 Jan/Feb;29(1):46-50. doi: 10.5830/CVJA-2017-038.