Admission Serum Chloride Levels as Predictor of Stay Duration in Acute Decompensated Heart Failure

© Journal of the Association of Physicians of India 2011..

OBJECTIVE: Recent studies have shown that lower serum chloride is associated with diuretic resistance and increased mortality in heart failure. Impact of lower admission chloride on duration of stay in acute decompensated heart failure (ADHF) has not been studied previously.

METHODS: In this retrospective analysis, we studied the effect of admission serum chloride on the duration of hospital stay in patients admitted with ADHF. A total of 167 patients were studied. Serum chloride levels were divided into tertiles - <96 meq/L (tertile 1), 96-101 meq/L (tertile 2), and >101 meq/L (tertile 3) based on the distribution of serum chloride levels in our patients.

RESULTS: The median lengths of hospital stay in tertiles 1, 2, and 3 were 8(Interquartile range :6 -11), 7 (Interquartile range :5 -10.50), and 6 days(Interquartile range :4.25 - 8), respectively (p = 0.011). Admission serum chloride levels were inversely associated with duration of stay (R2 linear = 0.074, p = 0.001). On multiple linear regression analysis, serum chloride remained independent predictor of increased hospital stay (p=0.003) while association with serum sodium was not significant (p=0.07). 1 unit increase in chloride level was associated with 1.3% (p=0.003) decrease in hospital stay (95% CI: 2.2% to 0.5%).

CONCLUSION: This retrospective analysis suggests that admission serum chloride levels are independently and inversely associated with increased duration of stay. This is independent of admission sodium levels. Thus serum chloride, rather than sodium, is an important poor prognostic marker in heart failure patients.

Medienart:

Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:68

Enthalten in:

The Journal of the Association of Physicians of India - 68(2020), 10 vom: 28. Okt., Seite 34-38

Sprache:

Englisch

Beteiligte Personen:

Goyal, Abhishek [VerfasserIn]
Kaur, Simran [VerfasserIn]
Singh, Bhupinder [VerfasserIn]
Tandon, Rohit [VerfasserIn]
Takkar Chhabra, Shibba [VerfasserIn]
Aslam, Naved [VerfasserIn]
Mohan, Bishav [VerfasserIn]
Wander, Gurpreet Singh [VerfasserIn]

Themen:

Biomarkers
Diuretics
Journal Article

Anmerkungen:

Date Completed 29.09.2020

Date Revised 17.04.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315496479