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4,867 results on '"Aronow, Wilbert S."'

27. Length of stay and readmission in older adults hospitalized for heart failure

Author

Arundel, Cherinne, Lam, Phillip H, Faselis, Charles, Sheriff, Helen M, Dooley, Daniel J, Morgan, Charity, Fonarow, Gregg C, Aronow, Wilbert S, Allman, Richard M, and Ahmed, Ali

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Heart Disease, Patient Safety, Prevention, Aging, Clinical Research, length of stay, 30-day all-cause readmission, heart failure, all-cause mortality, General & Internal Medicine, Clinical sciences
Abstract

IntroductionHospital length of stay (LoS) and hospital readmissions are metrics of healthcare performance. We examined the association between these two metrics in older patients hospitalized with decompensated heart failure (HF).Material and methodsEight thousand and forty-nine patients hospitalized for HF in 106 U.S. hospitals had a median LoS of 5 days; among them, 3777 had a LoS > 5 days. Using propensity scores for LoS > 5 days, we assembled 2723 pairs of patients with LoS 1-5 vs. > 5 days. The matched cohort of 5446 patients was balanced on 40 baseline characteristics. We repeated the above process in 7045 patients after excluding those with LoS > 10 days, thus assembling a second matched cohort of 2399 pairs of patients with LoS 1-5 vs. 6-10 days. Hazard ratios (HR) and 95% confidence intervals (CI) for outcomes associated with longer LoS were estimated in matched cohorts.ResultsIn the primary matched cohort (n = 5446), LoS > 5 days was associated with a higher risk of all-cause readmission at 30 days (HR = 1.16; 95% CI: 1.04-1.31; p = 0.010), but not during longer follow-up. A longer LoS was also associated with a higher risk of mortality during 8.8 years of follow-up (HR = 1.13; 95% CI: 1.06-1.21; p < 0.001). LoS had no association with HF readmission. Similar associations were observed among the matched sensitivity cohort (n = 4798) that excluded patients with LoS > 10 days.ConclusionsIn propensity score-matched balanced cohorts of patients with HF, a longer LoS was independently associated with poor outcomes, which persisted when LoS > 10 days were excluded.

Published
2021

39. Systolic Blood Pressure and Outcomes in Older Patients with HFpEF and Hypertension

Author

Faselis, Charles, Lam, Phillip H, Zile, Michael R, Bhyan, Poonam, Tsimploulis, Apostolos, Arundel, Cherinne, Patel, Samir, Kokkinos, Peter, Deedwania, Prakash, Bhatt, Deepak L, Zeng-Trietler, Qing, Morgan, Charity J, Aronow, Wilbert S, Allman, Richard M, Fonarow, Gregg C, and Ahmed, Ali

Subjects
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Cardiovascular, Aging, Patient Safety, Clinical Research, Hypertension, Aged, Aged, 80 and over, Blood Pressure, Cohort Studies, Female, Heart Failure, Humans, Inpatients, Male, Medicare, Registries, Treatment Outcome, United States, All-cause mortality, Heart failure with preserved ejection fraction, Readmission, Systolic blood pressure, Heart failure with preserved ejection fraction (HFpEF), Readmission, Medical and Health Sciences, General & Internal Medicine, Biomedical and clinical sciences, Health sciences
Abstract

BackgroundNew hypertension and heart failure guidelines recommend that systolic blood pressure (SBP) in patients with heart failure with preserved ejection fraction (HFpEF) and hypertension be lowered to

Published
2021

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