Renal dysfunction and survival in hospitalized patients with chronic heart failure: a retrospective analysis

To analyze the impact of renal dysfunction on survival in hospitalized chronic heart failure (CHF) patients. In this retrospective analysis, we collected all clinical data from eligible patients hospitalized in the second hospital of Tianjin Medical University between Jan 1980 and Aug 2007. CHF pati...

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Published inZhōnghuá xīnxuèguănbìng zázhì Vol. 37; no. 8; p. 729
Main Authors Yang, Yan-hua, Wang, Lin, An, Fang, Huang, Jiao-hong, Ma, Jin-ping, Li, Guang-ping, Li, Li-feng
Format Journal Article
LanguageChinese
Published China 01.08.2009
Subjects
Adult
Aged
Chronic Disease
Female
Heart Failure - diagnosis
Humans
Inpatients
Male
Middle Aged
Prognosis
Renal Insufficiency
Retrospective Studies
Survival Analysis
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Summary:To analyze the impact of renal dysfunction on survival in hospitalized chronic heart failure (CHF) patients. In this retrospective analysis, we collected all clinical data from eligible patients hospitalized in the second hospital of Tianjin Medical University between Jan 1980 and Aug 2007. CHF patients were divided into three groups according to glomerular filtration rate (GFR): A, normal renal function; B, mild renal dysfunction; C, renal dysfunction. Patients in group C were further divided into three subgroups according to hospitalization year: D, 1980.01 - 1989.12; E, 1990.01 - 1999.12; F, 2000.01 - 2007.08. Renal dysfunction was found in 714 patients. Compared with group A (n = 817) and group B (n = 928), patients in group C were older, had worse heart function and major medications included nitrates, diuretics and digitalis. From 1980 to 2007, use of Angiotensin II receptor antagonist, beta-blocker, statins significantly increased and the in-hospital mortality significantly decreased in group C patient
ISSN:0253-3758