Changes in Hospital Mortality of Emergency Hospitalization Severe Heart Failure Patients Using DPC Data

Abstract

Heart Failure (HF) accounts for a large number of hospitalization and contributes significantly to mortality. 348 cases of HF patients admitted to our the hospital from April 2009 to March 2013. We examined the effect factors and changes in hospital mortality using the DPC analysis software EVE. (1) In-hospital mortality rate was improved from 14.4% to 9.3%. (2) Changes in the treatment of heart failure drug usage: <Injection drugs> cardiotonic/diuretic decreased and carperitide increased. <Oral medicine> ACEI/ARB and beta-blockers increased slightly. Oral inotropic agents decreased. The prognosis of severe emergency inpatient improved year by year, the selection of an appropriate drug for HF was one of the causes.Tabled 1Year2010 (n=82)2013 (n=54)Age (years)83.578.3In-hospital mortality (%)18.39.3infusion DOB/DOA use (%)5617 Furosemide use (%)9472 Carperitide use (%)3741Medications ACEI/ARB use (%)5667 BB use (%)4146 Inotropic agents use (%)177 Open table in a new tab