Assessment of Outcome in Acute Heart Failure Patients with Degrees of Haemoconcentration at a Costal Rural Tertiary Care Hospital

Abstract

INTRODUCTION: Heart failure accounts for major cause of mortality and morbidity .Volume overload is one of the main reason for hospitalization in Acute Heart Faliure,hemoconcentration(increase in hemoglobin concentration) at discharge was proposed as  good prognostic marker for survival. Therefore, the present study is conducted to evaluate the outcome of  rural acute heart failure patients  with  degrees of haemoconcentration.

AIM AND OBJECTIVES: To assess the mortality of patients with Acute heart failure between various degrees of haemoconcentration and between Ejection fraction groups(HFrEF,HFmrEF,HFpEF).

 MATERIALS AND METHODS: This is a cross sectional  prospective observational study done on 66  patients admitted in a rural tertiary care hospital, Karaikal for a duration of 18 months.Patients aged above 18 years, those who are clinically diagnosed Acute heart failure according to the FRAMINGHAM ACUTE HEART FAILURE CRITERIA are included in the study.Patients who has CKD,<18 years,had blood transfusion and on Erythropoietin are excluded.

Outcome:mortality with in 90 days post discharge.

RESULTS: P-value for comparison of hemoconcentration  and hemodilution between expired and survived  groups is 0.015(<0.05) which is statistically significant in between the groups.