Table 5. Frequency of Symptoms of Acute Heart Failure and Short-Term Mortality.
Hospital Death Rates | 30 Day Death Rates | |||
---|---|---|---|---|
Few acute symptoms* | Few acute symptoms† | Few acute symptoms* | Few acute symptoms† | |
Controlling variables |
||||
▪Age and sex | 2.06 (1.62,2.61) |
1.27 (1.00,1.60) |
1.73 (1.45,2.06) |
1.18 (0.99,1.40) |
▪Age, sex, and prior comorbidities1 | 1.82 (1.43,2.33) |
1.16 (0.91,1.47) |
1.55 (1.29,1.86) |
1.08 (0.90,1.29) |
▪Age, sex, prior comorbidities, and physiologic findings2 | 1.74 (1.35,2.26) |
1.12 (0.87,1.45) |
1.45 (1.19,1.76) |
1.04 (0.86,1.26) |
▪Age, sex, prior comorbidities, physiologic findings, and hospital treatment practices3 | 1.44 (1.80,1.88) |
0.98 (0.75,1.27) |
1.28 (1.05,1.56) |
0.94 (0.77,1.15) |
▪All variables univariately related to death | 1.78 (1.40,2.27) |
1.15 (0.90,1.45) |
1.52 (1.27,1.83) |
1.07 (0.89,1.28) |
≤ 2 vs ≥3 of the 5 most commonly reported acute symptoms
≤3 vs ≥4 of the 14 total acute symptoms examined
prior comorbidities = BMI, prior anemia, angina, COPD, CHD, diabetes, HF, hyperlipidemia, MI, renal disease, stroke, and DNR orders
physiologic findings = Factors listed in regression #1 plus admission systolic and diastolic blood pressure, heart rate, eGFR, BUN, serum sodium, and white blood cell count
hospital treatment practices = Factors listed in regression #2 plus use of ACE inhibitors, ARB blockers, beta blockers, digoxin, diuretics, recommendation to reduce salt intake, fluid restriction, smoking cessation, increased physical activity, and alcohol reduction
Hospital death rates controlling variables = age, race, BMI, prior angina, CHD, diabetes, hyperlipidemia, hypertension, MI and DNR orders.
30 day death rates controlling variables = age, race, BMI, prior anemia, angina, CHD, diabetes, CHF, hyperlipidemia, hypertension, MI, stroke and DNR orders.