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Dysphagia worsens short-term outcomes in patients with acute exacerbation of heart failure
- Source :
- Heart and Vessels. 35:1429-1438
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Dysphagia, defined as a dysfunction in any stage or process of eating, is common in patients with acute exacerbation of heart failure (HF). In some diseases, dysphagia worsens in-hospital mortality, length of hospital stay, and discharge disposition. However, it remains unclear whether dysphagia is associated with poor short-term outcomes in HF patients. The objective of the present study was to determine whether dysphagia affects short-term outcomes in patients with acute exacerbation of HF. A total of 327 patients hospitalized with acute exacerbation of HF were eligible for the study. Patients were divided into a dysphagia group (DG) or a non-dysphagia group (NDG) based on results of the functional oral intake scale (FOIS), which evaluates a patient's ability of eating and swallowing. FOIS is a 7-point scale, with a level of ≤ 5 indicating dysphagia. Following the withdrawal of 16 patients, short-term outcomes such as in-hospital mortality, length of hospital stay, and discharge disposition, of 311 patients were analyzed. All indexes of short-term outcomes were significantly worse in the DG than in the NDG. After propensity score matching, which was performed to adjust for baseline characteristics such as age, sex, height, weight, body mass index, medical history, complications, HF severity, ejection fraction, and biochemical data excluding nutritional status, all short-term outcomes remained significantly worse in the DG than in the NDG. Multivariate analysis showed that FOIS was an independent predictor of in-hospital survival, length of hospital stay, and discharge to home. The present study suggested that dysphagia affected short-term outcomes in patients with acute exacerbation of HF. Therefore, early detection and intervention of dysphagia in HF patients are important.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Exacerbation
030204 cardiovascular system & hematology
Risk Assessment
Severity of Illness Index
Ventricular Function, Left
03 medical and health sciences
0302 clinical medicine
Swallowing
Internal medicine
otorhinolaryngologic diseases
medicine
Humans
Medical history
Hospital Mortality
Longitudinal Studies
030212 general & internal medicine
Aged
Aged, 80 and over
Heart Failure
business.industry
Stroke Volume
Length of Stay
medicine.disease
Dysphagia
Deglutition
Cardiac surgery
Heart Disease Risk Factors
Heart failure
Propensity score matching
Disease Progression
Female
medicine.symptom
Deglutition Disorders
Cardiology and Cardiovascular Medicine
business
Body mass index
Subjects
Details
- ISSN :
- 16152573 and 09108327
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Heart and Vessels
- Accession number :
- edsair.doi.dedup.....ccdd527773df6d49245686eb0bfb1c40