Publication: Severe Anaemia as A Predictor of Mortality in Heart Failure Patients
Files
Date
2014
Authors
Article Type
Original Article
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 97 - 101
Publisher
Institute of Medicine
Abstract
Abstract
Introduction: Anaemia at the time of diagnosis of heart failure is said to be an independent factor for mortality during the following years. In this study, the effect of severe anaemia at the time of diagnosis, in the outcome of heart failure in the form of in hospital mortality is studied.
Methods: One hundred eighty-four heart failure patients admitted in Manamohan Cardiothoraccic. Vascular and Transplant Centre between September 2011 to March 2012, age above 15 years were enrolled in the study. Baseline investigations and hemoglobin was done and the patients were followed up till discharge or in hospital mortality.
Results: Among the 184 heart failure patients 115(62.5%) had anaemia. When evaluated in a bivariate model, the odds ratio of death for patients with mild anaemia compared with patients with no anaemia was 3.90.6-22.6, p value 0.124) for moderate anaemia 4.5 (0.9-23.07, p value 0.064) and for severe anaemia 46.06 (8.6-246.05, p value 1000), respectively. On multivariate analysis severe anaemia 919 (5.6-149762.9, p value 0.009) was still found to be a significant predictor of mortality
Conclusion: Severe anaemia at the time of diagnosis of heart failure is an independent predictor of in hospital mortality.
Keywords: Anaemia, heartfailure patient, mortality
Description
CM Poudel
Department of Cardiology, Institute of Medicine Manmohan Cardiothoracco-Vascular and Transplant Center, Maharajgunj Medical Campus Kathmandu
RR Poudel
Department of Cardiology, Institute of Medicine Manmohan Cardiothoracco-Vascular and Transplant Center, Maharajgunj Medical Campus Kathmandu
SC Jha
Department of Cardiology, Institute of Medicine Manmohan Cardiothoracco-Vascular and Transplant Center, Maharajgunj Medical Campus Kathmandu
A Sayami
Department of Cardiology, Institute of Medicine Manmohan Cardiothoracco-Vascular and Transplant Center, Maharajgunj Medical Campus Kathmandu
Keywords
Anaemia, heartfailure patient, mortality
Identifier
https://doi.org/10.59779/jiomnepal.621