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Association Between Prehospital Delay and Subsequent Clinical Course in Patients With/Hospitalized for Heart Failure
Linköping University, Department of Medical and Health Sciences, Cardiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Cardiology UHL. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.ORCID iD: 0000-0001-7431-2873
University of Groningen.
University of Groningen.
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
2012 (English)In: Journal of Cardiac Failure, ISSN 1071-9164, E-ISSN 1532-8414, Vol. 18, no 3, 202-207 p.Article in journal (Refereed) Published
Abstract [en]

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. less thanbrgreater than less thanbrgreater thanMethods: 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. less thanbrgreater than less thanbrgreater thanResults: 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 andgt;24 hours (492 pg/mL). Delay was not related to all-cause mortality and/or readmissions for HF. less thanbrgreater than less thanbrgreater thanConclusion: 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.

Place, publisher, year, edition, pages
Elsevier , 2012. Vol. 18, no 3, 202-207 p.
Keyword [en]
Heart failure, delay, outcome and process assessment
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-76619DOI: 10.1016/j.cardfail.2011.12.007ISI: 000301686500006OAI: oai:DiVA.org:liu-76619DiVA: diva2:515445
Available from: 2012-04-13 Created: 2012-04-13 Last updated: 2017-12-07

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Johansson, PeterJaarsma, Tiny

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