Skip to main content
Journal cover image

Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines.

Publication ,  Journal Article
Whellan, DJ; Zhao, X; Hernandez, AF; Liang, L; Peterson, ED; Bhatt, DL; Heidenreich, PA; Schwamm, LH; Fonarow, GC
Published in: J Card Fail
August 2011

BACKGROUND: This study was undertaken to identify predictors of hospital length of stay (LOS) for heart failure (HF) patients using clinical variables available at the time of admission and hospital characteristics. METHODS AND RESULTS: A cohort of 70,094 HF patients discharged to home from 246 hospitals participating in the Get With the Guidelines-Heart Failure was analyzed for admission predictors for LOS. The analysis incorporated patient characteristics (PC) first, then added hospital characteristics (HC) followed by standard laboratory evaluations (SL), including troponin and brain natriuretic peptide (BNP). There were 31,995 patients (45.6%) with LOS < 4 days, 26,750 (38.2%) with LOS 4 to 7 days, and 11,349 (16.2%) with LOS > 7 days. Patients with longer LOS had more comorbidities and a higher severity of disease on admission. Overall models explained a modest amount of LOS variation, with an r(2) of 4.8%, with PC responsible for 1.3% of variation and together with SL explained 2.2% of variation. HC did not change the variation. CONCLUSIONS: Based on admission vital signs and BNP levels, patients with longer LOS have more comorbidities and a higher disease severity. The ability to risk stratify for LOS based on patient admission and hospital characteristics is limited.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

August 2011

Volume

17

Issue

8

Start / End Page

649 / 656

Location

United States

Related Subject Headings

  • Prospective Studies
  • Predictive Value of Tests
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Length of Stay
  • Humans
  • Hospitalization
  • Heart Failure
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Whellan, D. J., Zhao, X., Hernandez, A. F., Liang, L., Peterson, E. D., Bhatt, D. L., … Fonarow, G. C. (2011). Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines. J Card Fail, 17(8), 649–656. https://doi.org/10.1016/j.cardfail.2011.04.005
Whellan, David J., Xin Zhao, Adrian F. Hernandez, Li Liang, Eric D. Peterson, Deepak L. Bhatt, Paul A. Heidenreich, Lee H. Schwamm, and Gregg C. Fonarow. “Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines.J Card Fail 17, no. 8 (August 2011): 649–56. https://doi.org/10.1016/j.cardfail.2011.04.005.
Whellan DJ, Zhao X, Hernandez AF, Liang L, Peterson ED, Bhatt DL, et al. Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines. J Card Fail. 2011 Aug;17(8):649–56.
Whellan, David J., et al. “Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines.J Card Fail, vol. 17, no. 8, Aug. 2011, pp. 649–56. Pubmed, doi:10.1016/j.cardfail.2011.04.005.
Whellan DJ, Zhao X, Hernandez AF, Liang L, Peterson ED, Bhatt DL, Heidenreich PA, Schwamm LH, Fonarow GC. Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines. J Card Fail. 2011 Aug;17(8):649–656.
Journal cover image

Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

August 2011

Volume

17

Issue

8

Start / End Page

649 / 656

Location

United States

Related Subject Headings

  • Prospective Studies
  • Predictive Value of Tests
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Length of Stay
  • Humans
  • Hospitalization
  • Heart Failure
  • Female