Long-term outcomes of patients admitted with heart failure in a tertiary care center in India

Abstract

There are limited studies on heart failure in Indian population

Objective

Present study aimed to assess the in-hospital 90-day and two year outcomes in patients with ischemic (IHD-HF) and non ischemic heart failure (NIHD-HF).

Methods

Patients with NYHA Class III & IV, who were admitted to our intensive care unit with heart failure (HF), were evaluated and followed up for 2 years.

Results

In our cohort of 287 patients, there were 192 (66.9%) males and 95 (33.1%) females. Patients were divided into IHD-HF of 180 (62.7%) patients and NIHD-HF of 107 (37.3%) patients. Mean age of IHD-HF group was 66 (+/−10) and in the NIHD-HF group was 61 (+/−11). Prevalence of HF increased with age in the IHD-HF population and there was no relation with age in the NIHD-HF population .Patients readmitted within 90 days in the IHD-HF were 56 % (n−101) and in the NIHD-HF were 32.7 % (n-35) [p- 0.001]. Two- year recurrent admissions were 69.4 % (n-125) in the IHD-HF patients and 52.3 % (n-56) in the NIHD-HF patients, respectively (p-0.004). Mortality at 90 days in the IHD-HF patients was 26.6 % (n-48) and in NIHD-HF patients were 14.9 % (n-16) [p- 0.021]. Two-year mortality was 42.3 % (n-76) in the IHD-HF patients and 29.9 %(n-32) in the NIHD-HF patients, respectively (p-0.037).

Conclusions

HF in IHD-HF heralds a bad prognosis with recurrent hospitalizations and high mortality when compared to patients with NIHD-HF.