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Short length of hospitalization in patients with acute heart failure entails a high risk of readmission: True or false? Insights from the LOHRCA study

  • Pedro Moliner
    Affiliations
    Community Heart Failure Program, Department of Cardiology, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain

    Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain

    School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain

    Cardio-Oncology Unit, Cardiology Department, Bellvitge University Hospital - Catalan Institute of Oncology (ICO), L'Hospitalet de Llobregat, Barcelona, Spain
    Search for articles by this author
  • Josep Comin-Colet
    Correspondence
    Corresponding author at: Head of Department of Cardiology, Hospital Universitari de Bellvitge, 19th Floor. Feixa Llarga s/n, Hospitalet de Llobregat, 08907, Barcelona, Spain
    Affiliations
    Community Heart Failure Program, Department of Cardiology, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain

    Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain

    Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
    Search for articles by this author
Published:October 31, 2019DOI:https://doi.org/10.1016/j.ejim.2019.10.009
      Heart failure (HF) is a chronic disease with devastating consequences in terms of mortality, morbidity, health-related quality of life and healthcare costs [
      • Farré N.
      • Vela E.
      • Clèries M.
      • Bustins M.
      • Cainzos-Achirica M.
      • Enjuanes C.
      • Moliner P.
      • Ruiz S.
      • Verdú-Rotellar J.M.
      • Comín-Colet J
      Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients.
      ]. Furthermore, several factors contribute to an increase in the prevalence of HF and, as a consequence, an increase in admissions and recurrent admissions due to acute decompensated heart failure (ADHF). In fact, a recent study published by Mendez-Bailón et al. in European Journal of Internal Medicine showed how in the last 15 years there has been a progressive increase in hospital admissions of patients with chronic HF [
      • Méndez-Bailón M.
      • Jiménez-García R.
      • Hernández-Barrera V.
      • Comín-Colet J.
      • Esteban-Hernández J.
      • de Miguel-Díez J.
      • de Miguel-Yanes J.M.
      • Muñoz-Rivas N.
      • Lorenzo-Villalba N.
      • López-de-Andrés A
      Significant and constant increase in hospitalization due to heart failure in Spain over 15 year period.
      ].
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      References

        • Farré N.
        • Vela E.
        • Clèries M.
        • Bustins M.
        • Cainzos-Achirica M.
        • Enjuanes C.
        • Moliner P.
        • Ruiz S.
        • Verdú-Rotellar J.M.
        • Comín-Colet J
        Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients.
        Eur J Heart Fail. 2016; 18: 1132-1140https://doi.org/10.1002/ejhf.549
        • Méndez-Bailón M.
        • Jiménez-García R.
        • Hernández-Barrera V.
        • Comín-Colet J.
        • Esteban-Hernández J.
        • de Miguel-Díez J.
        • de Miguel-Yanes J.M.
        • Muñoz-Rivas N.
        • Lorenzo-Villalba N.
        • López-de-Andrés A
        Significant and constant increase in hospitalization due to heart failure in Spain over 15 year period.
        Eur J Intern Med. 2019; 64: 48-56https://doi.org/10.1016/j.ejim.2019.02.019
        • Sud M.
        • Yu B.
        • Wijeysundera H.C.
        • Austin P.C.
        • Ko D.T.
        • Braga J.
        • Cram P.
        • Spertus J.A.
        • Domanski M.
        • Lee D.S
        Associations between short or long length of stay and 30-Day readmission and mortality in hospitalized patients with heart failure.
        JACC Heart Fail. 2017; 5: 578-588https://doi.org/10.1016/j.jchf.2017.03.012
        • Eapen Z.J.
        • Reed S.D.
        • Li Y.
        • Kociol R.D.
        • Armstrong P.W.
        • Starling R.C.
        • McMurray J.J.
        • Massie B.M.
        • Swedberg K.
        • Ezekowitz J.A.
        • Fonarow G.C.
        • Teerlink J.R.
        • Metra M.
        • Whellan D.J.
        • O'Connor C.M.
        • Califf R.M.
        • Hernandez A.F
        Do countries or hospitals with longer hospital stays for acute heart failure have lower readmission rates?: Findings from ASCEND-HF.
        Circ Heart Fail. 2013; 6: 727-732https://doi.org/10.1161/CIRCHEARTFAILURE.112.000265
        • Miñana G.
        • Bosch M.J.
        • Núñez E.
        • Mollar A.
        • Santas E.
        • Valero E.
        • García-Blas S.
        • Pellicer M.
        • Bodí V.
        • Chorro F.J.
        • Sanchis J.
        • Núñez J
        Length of stay and risk of very early readmission in acute heart failure.
        Eur J Intern Med. 2017; 42: 61-66https://doi.org/10.1016/j.ejim.2017.04.003
        • Miró O.
        • Padrosa J.
        • et al.
        Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: results of the LOHRCA study.
        Eur J Intern Med. 2019; https://doi.org/10.1016/j.ejim.2019.08.007
        • Ponikowski P.
        • Voors A.A.
        • Anker S.D.
        • Bueno H.
        • Cleland J.G.
        • Coats A.J.
        • Falk V.
        • González-Juanatey J.R.
        • Harjola V.P.
        • Jankowska E.A.
        • Jessup M.
        • Linde C.
        • Nihoyannopoulos P.
        • Parissis J.T.
        • Pieske B.
        • Riley J.P.
        • Rosano G.M.
        • Ruilope L.M.
        • Ruschitzka F.
        • Rutten F.H.
        • van der Meer P
        2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.
        Eur J Heart Fail. 2016; 18: 891-975
        • Comín-Colet J.
        • Verdú-Rotellar J.M.
        • Vela E.
        • Clèries M.
        • Bustins M.
        • Mendoza L.
        • Badosa N.
        • Cladellas M.
        • Ferré S.
        • Bruguera J.
        Working group of the integrated program for heart failure management of the Barcelona litoral mar integrated health care area, Spain. efficacy of an integrated hospital-primary care program for heart failure: a population-based analysis of 56,742 patients.
        Rev Esp Cardiol (Engl Ed). 2014; 67: 283-293https://doi.org/10.1016/j.rec.2013.12.005
        • Comín-Colet J.
        • Enjuanes C.
        • Lupón J.
        • Cainzos-Achirica M.
        • Badosa N.
        • Verdú J.M
        Transitions of care between acute and chronic heart failure: critical steps in the design of a multidisciplinary care model for the prevention of rehospitalization.
        Rev Esp Cardiol (Engl Ed). 2016; 69: 951-961https://doi.org/10.1016/j.rec.2016.05.001
        • Zaprutko J.
        • Michalak M.
        • Nowicka A.
        • Dankowski R.
        • Drożdż J.
        • Ponikowski P.
        • Opolski G.
        • Nessler J.
        • Nowalany-Kozielska E.
        • Szyszka A
        Hospitalisation length and prognosis in heart failure patients.
        Kardiol Pol. 2017; 75: 323-331https://doi.org/10.5603/KP.a2016.0183
        • Cainzos-Achirica M.
        • Capdevila C.
        • Vela E.
        • Cleries M.
        • Bilal U.
        • Garcia-Altes A.
        • Enjuanes C.
        • Garay A.
        • Yun S.
        • Farre N.
        • Corbella X.
        • Comin-Colet J
        Individual income, mortality and healthcare resource use in patients with chronic heart failure living in a universal healthcare system: a population-based study in Catalonia, Spain.
        Int J Cardiol. 2019; 277: 250-257https://doi.org/10.1016/j.ijcard.2018.10.099
        • Jimeno Sainz A.
        • Gil V.
        • Merino J.
        • García M.
        • Jordán A.
        • Guerrero L
        Validity of Framingham criteria as a clinical test for systolic heart failure.
        Rev Clin Esp. 2006; 206: 495-498