{"id":4003,"date":"2013-12-02T00:00:00","date_gmt":"2013-12-02T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/association-of-heart-rate-at-hospital-discharge-with-mortality-and-hospitalizations-in-patients-with-heart-failure\/"},"modified":"2023-06-14T19:36:47","modified_gmt":"2023-06-14T23:36:47","slug":"association-of-heart-rate-at-hospital-discharge-with-mortality-and-hospitalizations-in-patients-with-heart-failure","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-of-heart-rate-at-hospital-discharge-with-mortality-and-hospitalizations-in-patients-with-heart-failure\/","title":{"rendered":"Association of heart rate at hospital discharge with mortality and hospitalizations in patients with heart failure"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Heart failure (HF) is associated with a high burden of morbidity and mortality. Hospital discharge is an opportunity for identification of modifiable prognostic factors in the transition to chronic HF.<\/p>\n<p><span class=\"bold\">Methods and Results<\/span> &#x2014; The authors examined the association of discharge heart rate with 30-day and one-year mortality and hospitalization outcomes in a cohort of 9097 HF patients discharged from hospital. Discharge heart rate was categorized into predefined groups: 40-60 (n=1333), 61-70 (n=2170), 71-80 (n=2631), 81-90 (n=1700), and &gt;90 beats\/min (n=1263). There was a significant increase in all-cause 30-day mortality with adjusted odds ratios (aOR) of 1.59 (95%CI; 1.18-2.14, p=0.003) for discharge heart rates 81-90 beats\/min and 1.56 (95%CI; 1.13-2.16, p=0.007) for heart rates &gt;90 beats\/min, compared with the reference group (heart rates 61-70 beats\/min). Cardiovascular death risk at 30 days was also higher with aOR 1.59 (discharge heart rates 81-90 beats\/min, 95%CI; 1.09-2.33, p=0.017) and 1.65 (discharge heart rates &gt;90 beats\/min, 95%CI; 1.09-2.48, p=0.017). One-year all-cause mortality (aOR 1.41, 95%CI 1.16-1.72, p&lt;0.001) and cardiovascular death (aOR 1.47, 95%CI; 1.12-1.92, p=0.005) were higher with discharge heart rates &gt;90 beats\/min compared to the reference group (heart rates 40-60 beats\/min). Readmissions for HF (adjusted hazards ratio 1.26, 95%CI; 1.04-1.54, p=0.021) and cardiovascular disease (adjusted hazards ratio 1.29, 95%CI; 1.08-1.54, p=0.004) within 30 days were also higher with discharge heart rates &gt;90 beats\/min.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Higher discharge heart rates were associated with greater risk of all-cause and cardiovascular mortality up to one-year follow-up, and an elevated risk of 30-day readmission for HF and cardiovascular disease. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Heart failure (HF) is associated with a high burden of morbidity and mortality. Hospital discharge is an opportunity for identification of modifiable prognostic factors in the transition to chronic HF. Methods and Results &#x2014; The authors examined the association of discharge heart rate with 30-day and one-year mortality and hospitalization outcomes in a [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[40],"migration-helper-qa-sample-set":[],"class_list":["post-4003","journal_article","type-journal_article","status-publish","hentry","topic-cardiovascular-disease"],"acf":{"citation":"Habal MV, Liu PP, Austin PC, Ross HJ, Newton GE, Wang X, Tu JV, Lee DS. <em>Circ Heart Fail<\/em>. 2014; 7(1):12-20. Epub 2013 Dec 2.","source_url":"http:\/\/circheartfailure.ahajournals.org\/content\/7\/1\/12.long","ices_scientist":[1290,1385],"site":[6733],"research_program":[6742],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"7679F30E-D52D-482B-953A-54AA9F76255C","sitecore_item_name":"Association-of-heart-rate-at-hospital-discharge-with-mortality-and-hospitalizations","sitecore_field_values":"{\n  \"Title\": \"Association of heart rate at hospital discharge with mortality and hospitalizations in patients with heart failure\",\n  \"Short title\": \"Association of heart rate\",\n  \"Citation\": \"<p>Habal MV, Liu PP, Austin PC, Ross HJ, Newton GE, Wang X, Tu JV, Lee DS. <em>Circ Heart Fail<\/em>. 2014; 7(1):12-20. Epub 2013 Dec 2.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Heart failure (HF) is associated with a high burden of morbidity and mortality. Hospital discharge is an opportunity for identification of modifiable prognostic factors in the transition to chronic HF.<\/p>n<p><span class=\"bold\">Methods and Results<\/span> &mdash; The authors examined the association of discharge heart rate with 30-day and one-year mortality and hospitalization outcomes in a cohort of 9097 HF patients discharged from hospital. Discharge heart rate was categorized into predefined groups: 40-60 (n=1333), 61-70 (n=2170), 71-80 (n=2631), 81-90 (n=1700), and &gt;90 beats\/min (n=1263). There was a significant increase in all-cause 30-day mortality with adjusted odds ratios (aOR) of 1.59 (95%CI; 1.18-2.14, p=0.003) for discharge heart rates 81-90 beats\/min and 1.56 (95%CI; 1.13-2.16, p=0.007) for heart rates &gt;90 beats\/min, compared with the reference group (heart rates 61-70 beats\/min). Cardiovascular death risk at 30 days was also higher with aOR 1.59 (discharge heart rates 81-90 beats\/min, 95%CI; 1.09-2.33, p=0.017) and 1.65 (discharge heart rates &gt;90 beats\/min, 95%CI; 1.09-2.48, p=0.017). One-year all-cause mortality (aOR 1.41, 95%CI 1.16-1.72, p&lt;0.001) and cardiovascular death (aOR 1.47, 95%CI; 1.12-1.92, p=0.005) were higher with discharge heart rates &gt;90 beats\/min compared to the reference group (heart rates 40-60 beats\/min). Readmissions for HF (adjusted hazards ratio 1.26, 95%CI; 1.04-1.54, p=0.021) and cardiovascular disease (adjusted hazards ratio 1.29, 95%CI; 1.08-1.54, p=0.004) within 30 days were also higher with discharge heart rates &gt;90 beats\/min.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Higher discharge heart rates were associated with greater risk of all-cause and cardiovascular mortality up to one-year follow-up, and an elevated risk of 30-day readmission for HF and cardiovascular disease. <\/p>n<p><a href=\"http:\/\/circheartfailure.ahajournals.org\/content\/7\/1\/12.long\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{92E2791D-5DAB-4244-8A85-434D524D9A12}\",\n  \"Research Programs\": \"{BEC72DE0-BA8C-42B8-ACE5-EE29FFB2CB3B}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{CEEE13AD-C7DE-455F-ACF8-AAD7D27BB178}|{7D498E8B-5801-4F9E-AC41-11ED50F3C34E}|{956599EC-5699-41D3-9375-E0B6C25B12D5}\",\n  \"Posted Date\": \"20131202T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2013\/January\/Association-of-heart-rate-at-hospital-discharge-with-mortality-and-hospitalizations"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association of heart rate at hospital discharge with mortality and hospitalizations in patients with heart failure<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Heart failure (HF) is associated with a high burden of morbidity and mortality. 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