PMID- 31867437
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220412
IS  - 2352-9067 (Print)
IS  - 2352-9067 (Electronic)
IS  - 2352-9067 (Linking)
VI  - 26
DP  - 2020 Feb
TI  - Patient care pathways in acute heart failure and their impact on in-hospital 
      mortality, a French national prospective survey.
PG  - 100448
LID - 10.1016/j.ijcha.2019.100448 [doi]
LID - 100448
AB  - BACKGROUND: Our purpose was to describe the care pathway of patients hospitalized 
      for acute heart failure (AHF) and investigate whether a management involving a 
      cardiology department had an impact on in-hospital mortality. METHODS: Between 
      June 2014 and October 2018, we included patients hospitalized for AHF in 24 
      French hospitals. Characteristics of the episode, patient's care pathway and 
      outcomes were recorded on a specific assessment tool. The primary outcome was the 
      association between patient care pathway and in-hospital mortality. The 
      independent association between admission to a cardiology ward and in-hospital 
      mortality was assessed through a multivariate regression model and propensity 
      score matching. RESULTS: A total of 3677 patients, mean age of 78, were included. 
      The in-hospital mortality rate was 8% (n = 287) and was associated on 
      multivariate regression with advanced age, presence of sepsis, of cardiogenic 
      shock, high New York Heart Association (NYHA) score and increased plasma 
      creatinine level on admission. High blood pressure and admission to a cardiology 
      department appeared as protective factors. After propensity score matching, 
      hospitalization in a cardiology department remained a protective factor of 
      in-hospital mortality (OR = 0.61 [0.44-0.84], p = 0.002). CONCLUSION: A hospital 
      course of care involving a cardiology department was associated with an increase 
      in hospital survival in AHF patients. These finding may highlight the importance 
      of collaboration between cardiologists and other in-hospitals specialties, such 
      as emergency physicians, in order to find the best in-hospital pathway for 
      patients with AHF.Clinical Trial NCT03903198.
CI  - (c) 2019 The Authors. Published by Elsevier B.V.
FAU - Gorlicki, Judith
AU  - Gorlicki J
AD  - Emergency Department, SAMU 93, AP-HP, Avicenne University Hospital, Bobigny, 
      France.
AD  - Paris 13 University, Inserm U942, Bobigny, France.
FAU - Boubaya, Marouane
AU  - Boubaya M
AD  - Clinical Research Unit, AP-HP, Avicenne University Hospital, Bobigny, France.
FAU - Cottin, Yves
AU  - Cottin Y
AD  - Cardiology Department, University Hospital Center, Dijon, France.
FAU - Angoulvant, Denis
AU  - Angoulvant D
AD  - Cardiology Department, Tours University Hospital, EA4245, Loire Valley 
      Cardiovascular Collaboration and FHU SUPORT, Tours University, Tours, France.
FAU - Soulat, Louis
AU  - Soulat L
AD  - Emergency Department, SAMU 35, Pontchaillou University Hospital, Rennes, France.
FAU - Guinemer, Sabine
AU  - Guinemer S
AD  - Emergency Department, SAMU 93, AP-HP, Avicenne University Hospital, Bobigny, 
      France.
AD  - Paris 13 University, Inserm U942, Bobigny, France.
FAU - Bloch-Queyrat, Coralie
AU  - Bloch-Queyrat C
AD  - Clinical Research Unit, AP-HP, Avicenne University Hospital, Bobigny, France.
FAU - Deltour, Sandrine
AU  - Deltour S
AD  - Emergency Department, SAMU 93, AP-HP, Avicenne University Hospital, Bobigny, 
      France.
FAU - Lambert, Yves
AU  - Lambert Y
AD  - SAMU 78, Versailles Andre Mignot Hospital Center, Le Chesnay, France.
FAU - Juilliere, Yves
AU  - Juilliere Y
AD  - Cardiology Department, Nancy-Brabois University Hospital, Institut Lorrain du 
      Coeur et des Vaisseaux, Vandoeuvre-les-Nancy, France.
FAU - Adnet, Frederic
AU  - Adnet F
AD  - Emergency Department, SAMU 93, AP-HP, Avicenne University Hospital, Bobigny, 
      France.
AD  - Paris 13 University, Inserm U942, Bobigny, France.
LA  - eng
SI  - ClinicalTrials.gov/NCT03903198
PT  - Journal Article
DEP - 20191205
PL  - Ireland
TA  - Int J Cardiol Heart Vasc
JT  - International journal of cardiology. Heart & vasculature
JID - 101649525
EIN - Int J Cardiol Heart Vasc. 2020 Dec 19;32:100699. PMID: 33681452
PMC - PMC6906640
OTO - NOTNLM
OT  - Acute cardiac care
OT  - Acute heart failure
OT  - Outcome
EDAT- 2019/12/24 06:00
MHDA- 2019/12/24 06:01
PMCR- 2019/12/05
CRDT- 2019/12/24 06:00
PHST- 2019/08/28 00:00 [received]
PHST- 2019/11/14 00:00 [revised]
PHST- 2019/11/21 00:00 [accepted]
PHST- 2019/12/24 06:00 [entrez]
PHST- 2019/12/24 06:00 [pubmed]
PHST- 2019/12/24 06:01 [medline]
PHST- 2019/12/05 00:00 [pmc-release]
AID - S2352-9067(19)30199-X [pii]
AID - 100448 [pii]
AID - 10.1016/j.ijcha.2019.100448 [doi]
PST - epublish
SO  - Int J Cardiol Heart Vasc. 2019 Dec 5;26:100448. doi: 10.1016/j.ijcha.2019.100448. 
      eCollection 2020 Feb.