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首页> 外文期刊>Journal of cardiac failure >Association between prehospital delay and subsequent clinical course in patients with/hospitalized for heart failure
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Association between prehospital delay and subsequent clinical course in patients with/hospitalized for heart failure

机译：住院/因心力衰竭住院的院前延误与后续临床过程之间的关联

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Background: The clinical consequences of prehospital delay in heart failure (HF) patients are unknown. This study explores the relationship between prehospital delay of HF patients and length of hospital stay, plasma values of brain natriuretic peptides (BNP) as well as the association of delay with all-cause mortality, readmission for HF, or all-cause readmissions during short- (60 days) and long-term (18 months) follow-up. Methods: Data from 1023 hospitalized HF patients mean aged 71 years from the Coordinating study evaluating Outcomes of Advising and Counselling in HF study were analyzed. Results: Patients who delayed less than 1 day had significantly shorter stay in hospital (10 days vs. 11 days, P = 0.033). They also had significantly (P = 0.004) lower median plasma values of BNP (377 pg/mL) at discharge compared to patients who delayed >24 hours (492 pg/mL). Delay was not related to all-cause mortality and/or readmissions for HF. Conclusion: Although patients with a prehospital delay less than 1 day were more symptomatic on admission, they had a shorter hospital stay as well as lower plasma values of BNP at discharge. Delay was not associated hospital readmissions or mortality after discharge.
机译：背景：心力衰竭（HF）患者院前延迟的临床后果尚不清楚。这项研究探讨了HF患者的院前延误与住院时间，脑钠肽血浆（BNP）血浆值之间的关系，以及延误与全因死亡率，HF再入院或短期全因再入院的关系-（60天）和长期（18个月）随访。方法：对来自协调研究的1023例平均年龄为71岁的HF患者的数据进行评估，以评估HF研究中的咨询和咨询结果。结果：延迟不到1天的患者住院时间明显缩短（10天比11天，P = 0.033）。与延迟> 24小时的患者（492 pg / mL）相比，他们出院时的BNP血浆中值（377 pg / mL）显着降低（P = 0.004）。延迟与HF的全因死亡率和/或再入院无关。结论：尽管院前延误少于1天的患者在入院时有更多症状，但住院时间较短，出院时BNP的血浆值较低。延迟与出院后没有再住院或死亡相关。

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