Acute heart failure in pre-hospital care. Results from CARE PRE-H registry
| Authors | |
|---|---|
| Year of publication | 2014 |
| Type | Article in Periodical |
| Magazine / Source | Experimental and Clinical Cardiology |
| MU Faculty or unit | |
| Citation | |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | Acute; Heart failure; Mortality; Prehospital care |
| Description | Purpose: To describe the profile, management and early outcome of patients with suspect acute heart failure (AHF) in prehospital setting. Methods: Multicenter prospective registry enrolled consecutive data from the emergency medical system (EMS) during the period of 24 moths. Excluded were patients resuscitated or died before the initial EMS contact. Clinical profile, management and outcome were assessed and predictors of 30-day mortality identified. Results: From the 86584 patients the final diagnosis of AHF was established in 1345 (1.6%) of cases. Their median age was 78 years (57;91), the most common comorbid condition was hypertension (67%), signs of pulmonary oedema were present in 46.4%. Mortality at 30 day after the initial medical contact reached 20.7%. The outcome was more favourable in patients with hypertension (OR 0.51, 95% CI 0.361;0.711) and if physicians did not apply furosemide during the transportation to the hospital (OR 0.61, 95% CI 0.407;0.903). Advanced age (with OR 1.05, 95% CI 1.030;1.061), low oxygen saturation (OR 2.18, 95% CI 1.616;2.934) and the need of vasoactive or inotropic support (OR 3.55, 95%CI 1.710;7.391) were significantly associated with increased mortality. Conclusion: Short-term outcome of AHF patients is unfavourable. Study points out important factors influencing outcome that should be taken into account when managing these patients in prehospital area. |