The Brief Study on AHF at Government Hospital Madhya Pradesh Chhatarpur District; Treatment Outcomes among Patients

Abstract

Background: Acute Heart failure is very serious condition it required hospital and emergency ward. The aim of this critical Review to evaluate treatment and outcomes and predict a poor treatment outcome in acute heart failure patients at City Chhatarpur Madhya Pradesh. Methods: A randomized prospective study is designed on the basis of data were collection by using questionnaire as a tool. Outcomes variables were assessed at the time patient discharge from the Chhatarpur Hospital. Multivariate and Bivariate used as tool logistic analysis were used to determine factors that show in Hospital mortality. P Value<0.05 was significant statistically. Results: Out of the 200 patients, the median age of patients with acute heart failure 40 years (IQR = 23 to 50) and median hospital stay was 4.0 days (IQR = 5.0 to 7.0). The leading precipitating factor and underlying disease at the time of admission were pneumonia (33.5%) and chronic rheumatic heart disease (55.5%), respectively. The in hospital mortality was found to be 24.2%. Smoking (adjusted odds ratio (AOR) = 5.7, p = 0.009), diabetes mellitus (AOR = 10.2, p = 0.008) pulmonary hypertension (AOR = 4.3, p = 0.027), and the presence of adverse drug events (AOR = 4.2, p =0.009) were predictors of in-hospital mortality. Conclusion: High in-hospital mortality was observed among acute heart failure patients admitted to a Government Chhatarpur Hospital. Smoking, diabetes mellitus, pulmonary and the presence of adverse drug events were predictors of in-hospital mortality.