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Table of Contents
Vol. 100, No. 3, 2003
Issue release date: November 2003
Section title: General Cardiology
Cardiology 2003;100:136–142
(DOI:10.1159/000073931)

Risk Stratification of In-Hospital Mortality in Patients Hospitalized for Chronic Congestive Heart Failure Secondary to Non-Ischemic Cardiomyopathy

Chen M.-C.a · Chang H.-W.b · Cheng C.-I.a · Chen Y.-H.a · Chai H.-T.a
aDivision of Cardiology, Chang Gung Memorial Hospital, Kaohsiung, and bDepartment of Biological Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan, ROC

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Article / Publication Details

First-Page Preview
Abstract of General Cardiology

Received: June 02, 2003
Accepted: September 18, 2003
Published online: November 21, 2003
Issue release date: November 2003

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: http://www.karger.com/CRD

Abstract

The study population consisted of 234 consecutive patients hospitalized for acute exacerbation of congestive heart failure secondary to non-ischemic cardiomyopathy. Of the 234 patients, there were 55 in-hospital deaths. Their medical records were deliberatively reviewed and the association of 38 clinical, hemodynamic and biochemical variables with in-hospital mortality was evaluated by multiple stepwise logistic regression analysis. The following variables were statistically associated with in-hospital mortality: profound cardiogenic shock, severe hyponatremia, the presence of ventricular arrhythmias, history of stroke, the presence of acute renal failure, and requirement of dobutamine therapy. In stratified analyses, the rates of in-hospital mortality rose rapidly as the number of risk factors increased: 0 risk factors, 2.5%; 1 risk factor, 5.1%; 2 risk factors, 36.4%; 3 risk factors, 75%, and no less than 4 risk factors, 100%. In conclusion, our study identified 6 variables that correlated with in-hospital death in patients with heart failure secondary to non-ischemic cardiomyopathy. The identification of these variables may allow more accurate risk stratification of individuals at risk of in-hospital mortality in this clinical setting.

© 2003 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of General Cardiology

Received: June 02, 2003
Accepted: September 18, 2003
Published online: November 21, 2003
Issue release date: November 2003

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: http://www.karger.com/CRD


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