Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec;21(3):27-38.
Epub 2024 Jan 30.

PREDICTORS OF ACUTE HEART FAILURE OUTCOMES AT UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA

O Adebayo  1   2 , A Adebiyi  2   3 , O S Ogah  1   2   3 , M A Adeoye  1   2   3 , A Aje  2 , O O Oladapo  1   2   3
Affiliations

PREDICTORS OF ACUTE HEART FAILURE OUTCOMES AT UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA

O Adebayo et al. Ann Ib Postgrad Med. 2023 Dec.

Abstract

Background: Studies of acute heart failure (AHF) outcomes suggest that there are different predictors of mortality depending on region, ethnicity, and gender.

Objective: The purpose of this study was to identify predictors of six months' post discharge outcome among AHF patients in a Nigerian tertiary hospital.

Methods and materials: This study was a prospective observational study conducted at the cardiology unit of the Department of Medicine at the University College Hospital Ibadan. One hundred and sixty AHF participants ≥ 18 years old were recruited.

Results: The mean age of the cohort was 58.0±15.1 years and most were males (59.4%). The independent predictors for death outcome after six months of discharge for AHF and the adjusted hazard ratio) (95% CI) were male gender 2.77 (1.17 -6.56); p =0.020 ; systolic blood pressure (mmHg) 0.98 (0.96 - 0.99); p = 0.011 ; and the presence of hepatomegaly 2.58 (1.02 - 6.51); p = 0.045 . Independent predictors for readmission or rehospitalization within 6 months after discharge were presence of right abdominal pain adjusted HR (95% CI): 2.07(1.14 - 3.76), p=0.017; SBP 0.98(0.96 - 0.99), p=0.005. Independent predictors for composite endpoint were male gender: adjusted HR: 2.08 (1.16 - 3.72), p= 0.014 and pericardial effusion and tamponade: 5.31(1.79 - 15.74), p=0.003 .

Conclusion: The study provided an insight into the factors contributing to outcomes six-month after admission in a tertiary centre in South-Western Nigeria, and it highlighted the predictive role of systolic blood pressure.

Keywords: Acute heart failure; Ibadan; Outcomes.

PubMed Disclaimer

Figures

Figure. 1:
Figure. 1:
Diagnosis of heart failure
Figure. 2:
Figure. 2:
Type of heart failure
Figure. 3:
Figure. 3:
Type of heart failure based on EF
See this image and copyright information in PMC

References

    1. McDonagh TA, Metra M, Adamo M. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. European heart journal. 2021;42(36):3599–3726. - PubMed
    1. Gheorghiade M, Pang PS. Acute Heart Failure Syndromes. Journal of the American College of Cardiology. 2009;53(7):557–573. - PubMed
    1. Adebayo O, Ogah O, Adebiyi A. Clinical Characteristics, Management, and Six-Month Outcomes after Discharge of Patients Admitted for Acute Heart Failure in Ibadan, Nigeria. West African Journal of Medicine. 2023;40(1) - PubMed
    1. Chapman B, DeVore AD, Mentz RJ, Metra M. Clinical profiles in acute heart failure: an urgent need for a new approach. ESC heart failure. 2019;6(3):464–474. - PMC - PubMed
    1. Lanfear DE, Peterson EL, Campbell J. Relation of worsened renal function during hospitalization for heart failure to long-term outcomes and rehospitalization. American Journal of Cardiology. 2011;107(1):74–78. - PMC - PubMed

LinkOut - more resources