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Short-term outcomes after hospital discharge in patients admitted with heart failure in Abeokuta, Nigeria: data from the Abeokuta Heart Failure Registry.
- Source :
-
Cardiovascular journal of Africa [Cardiovasc J Afr] 2014 Sep-Oct; Vol. 25 (5), pp. 217-23. Date of Electronic Publication: 2014 Sep 10. - Publication Year :
- 2014
-
Abstract
- Background: Compared to other regions of the world, there is a paucity of data on the short-term outcome of acute heart failure (AHF) in Africa's most populous country, Nigeria. We examined the six-month outcomes (including case fatalities) in 285 of 309 AHF subjects admitted with HF to a tertiary hospital in Abeokuta, Nigeria.<br />Methods: The study cohort of 285 subjects comprised 150 men (52.6%) and 135 women (47.4%) with a mean age of 56.3 ± 15.6 years and the majority in NYHA class III (75%).<br />Results: There were a number of differences according to the subject's gender; men being older and more likely to present with hypertensive heart disease (with greater left ventricular mass) while also having greater systolic dysfunction. Mean length of stay was 10.5 ± 5.9 days. Mean follow up was 205 days, with 23 deaths and 20 lost to follow up. At 30 days, 4.2% (95% CI: 2.4-7.3%) had died and by 180 days this had increased to 7.5% (95% CI: 4.7-11.2%); with those subjects with pericardial disease demonstrating the highest initial mortality rate. Over the same period, 13.9% of the cohort was re-admitted at least once.<br />Conclusions: The characteristics of this AHF cohort in Nigeria were different from those reported in high-income countries. Cases were relatively younger and presented with non-ischaemic aetiological risk factors for HF, especially hypertensive heart disease. Moreover, mortality and re-admission rates were relatively lower, suggesting region-specific strategies are required to improve health outcomes.
- Subjects :
- Acute Disease
Adult
Age Distribution
Aged
Cardiomyopathy, Dilated complications
Cohort Studies
Female
Heart Failure epidemiology
Heart Failure etiology
Hospitalization
Humans
Hypertension complications
Male
Middle Aged
Myocardial Ischemia complications
Myocardial Ischemia epidemiology
Nigeria epidemiology
Outcome Assessment, Health Care
Patient Discharge
Pulmonary Heart Disease complications
Cardiomyopathy, Dilated epidemiology
Heart Failure mortality
Hypertension epidemiology
Length of Stay statistics & numerical data
Patient Readmission statistics & numerical data
Pulmonary Heart Disease epidemiology
Registries
Subjects
Details
- Language :
- English
- ISSN :
- 1680-0745
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cardiovascular journal of Africa
- Publication Type :
- Academic Journal
- Accession number :
- 25210973
- Full Text :
- https://doi.org/10.5830/CVJA-2014-040