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Descriptive epidemiology and short-term outcomes of heart failure hospitalisation in rural Haiti.
- Source :
-
Heart (British Cardiac Society) [Heart] 2016 Jan; Vol. 102 (2), pp. 140-6. - Publication Year :
- 2016
-
Abstract
- Objective: There is increasing attention to cardiovascular diseases in low-income countries. However, little is known about heart failure (HF) in rural areas, where most of the populations in low-income countries live. We studied HF epidemiology, care delivery and outcomes in rural Haiti.<br />Methods: Among adults admitted with HF to a rural Haitian tertiary care hospital during a 12-month period (2013-2014), we studied the clinical characteristics and short-term outcomes including length of stay, inhospital death and outpatient follow-up rates.<br />Results: HF accounted for 392/1049 (37%) admissions involving 311 individuals; over half (60%) were women. Mean age was 58.8 (SD 16.2) years for men and 48.3 (SD 18.8) years for women; 76 (41%) women were <40 years of age. Median length of stay was 10 days (first and second quartiles 7, 17), and inhospital mortality was 12% (n=37). Ninety nine (36%) of the 274 who survived their primary hospitalisation followed-up at the hospital's outpatient clinic, and 18 (6.6%) were readmitted to the same hospital within 30 days postdischarge. Decreased known follow-up (p<0.01) and readmissions (p=0.03) were associated with increased distance between patient residence and hospital. Among the one-quarter (81) patients with echocardiograms, causes of HF included: non-ischaemic cardiomyopathy (64%), right HF (12%), hypertensive heart disease (7%) and rheumatic heart disease (5%). One-half of the women with cardiomyopathy by echocardiogram had peripartum cardiomyopathy.<br />Conclusions: HF is a common cause of hospitalisation in rural Haiti. Among diagnosed patients, HF is overwhelming due to non-atherosclerotic heart disease and particularly affects young adults. Implementing effective systems to improve HF diagnosis and linkage to essential outpatient care is needed to reduce long-term morbidity and mortality.<br /> (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)
- Subjects :
- Adult
Aged
Female
Follow-Up Studies
Haiti epidemiology
Hospital Mortality
Humans
Length of Stay statistics & numerical data
Male
Middle Aged
Retrospective Studies
Rural Population statistics & numerical data
Cardiomyopathies complications
Cardiomyopathies epidemiology
Heart Failure diagnosis
Heart Failure etiology
Heart Failure mortality
Heart Failure therapy
Hospitalization statistics & numerical data
Outpatient Clinics, Hospital statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1468-201X
- Volume :
- 102
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Heart (British Cardiac Society)
- Publication Type :
- Academic Journal
- Accession number :
- 26729609
- Full Text :
- https://doi.org/10.1136/heartjnl-2015-308451