Acute cardiac care & resuscitation
The Burden of Heart Failure in Cardiac Intensive Care Unit: A Prospective 7 Years Analysis
Authors' conclusion
Patients with HF in CICU have higher severity of illness with a prolonged and complicated hospital course, all of which can substantially increase the burden on clinical resources.
Study context
- Population
- All consecutive patients admitted to the cardiac intensive care units (CICU) at a tertiary medical centre, 2014–20201,028–1145 admissions/year
- Participants
- 7,674 patients
- Exposure
- Heart failure (HF) vs acute coronary syndrome (ACS) patients in CICU
- Outcome
- Processes of care, resource use and outcomes during CICU hospitalisation, HF vs ACS
- Follow-up
- During CICU hospitalization
Methodological detailssingle-centre, tertiary medical centre, consecutive patients
- Single-centre
- Tertiary medical centre
- Consecutive patients
Main finding
As reported in the abstract
CICU length of stay
HF
6.2
± 4.3
STEMI
4.1
± 2.5
NSTEMI
3.5
± 2.1
P < 0.001
- HF patients' total hospitalisation days as share of ACS patients' cumulative CICU days each year
- 44-56%
Observational data: associations, not effects.
Further findings
In-hospital mortality — HF vs STEMI or NSTEMI
P < 0.001
Prolonged CICU hospitalisation (multivariable)
| OR (95% CI) | P value | ||
|---|---|---|---|
| HFAdjusted for co-morbidities | 3.5 (2.9–4.1) | P < 0.001 | |
| 0.20.5125Odds ratio (log scale) |
Ischaemic vs non-ischaemic HF aetiology
- Hospitalisation length and outcomes similar regardless of HF aetiology
Original publication
The Burden of Heart Failure in Cardiac Intensive Care Unit: A Prospective 7 Years Analysis. ESC Heart Fail. Published 17 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →