PMID- 31708454
OWN - NLM
STAT- MEDLINE
DCOM- 20210316
LR  - 20210316
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 29
IP  - 7
DP  - 2020 Jul
TI  - Survival After an Acute Heart Failure Admission. Twelve-Month Outcomes From the 
      NSW HF Snapshot Study.
PG  - 1032-1038
LID - S1443-9506(19)31448-9 [pii]
LID - 10.1016/j.hlc.2019.09.004 [doi]
AB  - BACKGROUND: The New South Wales (NSW) Heart Failure Snapshot sought to provide a 
      contemporaneous profile of patients admitted with acute heart failure. We have 
      previously reported the baseline results, and this paper reports the 30-day and 
      12-month outcomes. METHODS: A prospective audit of consecutive patients admitted 
      to 24 teaching hospitals across NSW and the Australian Capital Territory in 
      July-August 2013 with acute heart failure. Follow-up data were obtained by 
      integration of hospital administrative records and follow-up phone calls with the 
      patients. RESULTS: Eight hundred eleven (811) patients were recruited across the 
      24 sites. The NSW HF Snapshot was an elderly cohort (77 +/- 14 yrs) with high 
      comorbidity (mean Charlson Comorbidity Index 3.5 +/- 2.6), and 71% were frail at 
      baseline. Twenty-four per cent (24%) of patients were readmitted within 30-days 
      post discharge. One hundred seventy-eight (178) patients died within 12 months 
      post discharge. The independent predictors of death were frailty (Hazard Ratio 
      1.98 [95% Confidence interval 1.18-3.30]; p < 0.01) Charlson Comorbidity Index 
      (HR 1.06 [95% CI 1.00-1.13]; p = 0.05); New York Heart Association (NYHA) class 4 
      (HR 2.62 [95% CI 1.32-5.22]; p < 0.01); eGFR<30 ml/min/1.73 m(2) (HR 2.16 [95% CI 
      1.45-3.21]; p < 0.01); hypokalaemia at discharge (HR 2.55 [95% CI 1.44-4.51]; 
      p < 0.01) and readmission within 30 days of baseline admission (HR 2.13 [95% CI 
      1.49-3.13]; p < 0.01). CONCLUSION: In one of the largest prospective audits of 
      acute heart failure outcomes in Australia, we found that short-term readmissions 
      and mortality at 12 months remain high but were largely driven by patient-level 
      factors.
CI  - Copyright (c) 2019. Published by Elsevier B.V.
FAU - Newton, Phillip J
AU  - Newton PJ
AD  - School of Nursing & Midwifery, Western Sydney University, Sydney, NSW, Australia. 
      Electronic address: p.newton@westernsydney.edu.au.
FAU - Si, Si
AU  - Si S
AD  - NHMRC Centre for Research Excellence in Cardiovascular Outcomes Improvement 
      (CRECOI), School of Public Health, Curtin University, Perth, WA, Australia.
FAU - Reid, Christopher M
AU  - Reid CM
AD  - Monash Centre of Cardiovascular Research and Education in Therapeutics, School of 
      Public Health & Preventive Medicine, Monash University, Melbourne, Vic, 
      Australia; School of Public Health, Curtin University, Perth, WA, Australia.
FAU - Davidson, Patricia M
AU  - Davidson PM
AD  - School of Nursing, Johns Hopkins University, Baltimore, MD, USA; Faculty of 
      Health, University of Technology, Sydney, NSW, Australia.
FAU - Hayward, Christopher S
AU  - Hayward CS
AD  - St. Vincent's Hospital, Sydney, NSW, Australia; Victor Chang Cardiac Research 
      Institute, Sydney, NSW, Australia.
FAU - Macdonald, Peter S
AU  - Macdonald PS
AD  - St. Vincent's Hospital, Sydney, NSW, Australia; Victor Chang Cardiac Research 
      Institute, Sydney, NSW, Australia.
CN  - NSW HF Snapshot Investigators
LA  - eng
PT  - Journal Article
DEP - 20190923
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/*mortality
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - New South Wales/epidemiology
MH  - Prognosis
MH  - Prospective Studies
MH  - *Registries
MH  - Risk Factors
MH  - Survival Rate/trends
MH  - Time Factors
OTO - NOTNLM
OT  - Frailty
OT  - Heart failure
OT  - Hospitalisation
OT  - Mortality
OT  - Unwarranted variation
EDAT- 2019/11/12 06:00
MHDA- 2021/03/17 06:00
CRDT- 2019/11/12 06:00
PHST- 2019/07/14 00:00 [received]
PHST- 2019/09/02 00:00 [accepted]
PHST- 2019/11/12 06:00 [pubmed]
PHST- 2021/03/17 06:00 [medline]
PHST- 2019/11/12 06:00 [entrez]
AID - S1443-9506(19)31448-9 [pii]
AID - 10.1016/j.hlc.2019.09.004 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2020 Jul;29(7):1032-1038. doi: 10.1016/j.hlc.2019.09.004. Epub 
      2019 Sep 23.