title: The management, early and one year outcome in hospitalized patients with heart failure: a national Heart Failure Survey in Israel--HFSIS 2003.
abstract: BACKGROUND
  Despite improved management of heart failure patients, their prognosis remains poor.
  
  
  OBJECTIVE
  To characterize hospitalized HF patients and to identify factors that may affect their short and long-term outcome in a national prospective survey.
  
  
  METHODS
  We recorded stages B-D according to the American College of Cardiology/American Heart Association definition of HF patients hospitalized in internal medicine and cardiology departments in all 25 public hospitals in Israel.
  
  
  RESULTS
  During March-April 2003, 4102 consecutive patients were recorded. Their mean age was 73 +/- 12 years and 57% were males; 75.3% were hypertensive, 50% diabetic and 59% dyslipidemic; 82% had coronary artery disease, 33% atrial fibrillation, 41% renal failure (creatinine > or = 1.5 mg/dl), and 49% anemia (hemoglobin < or = 12 g/dl). Mortality rates were 4.7% in-hospital, 7.6% at 30 days, 18.7% at 6 months and 28.1% at 12 months. Multiple logistic regression analysis revealed that increased 1 year mortality rate was associated with NYHA III-IV (odds ratio 2.07, 95% confidence interval 1.78-2.41), age (for 10 year increment) (OR 1.41, 95% CI 1.31-1.52), renal failure (1.79, 1.53-2.09), anemia (1.50, 1.29-1.75), stroke (1.50, 1.21-1.85), chronic obstructive pulmonary disease (1.25, 1.04-1.50) and atrial fibrillation (1.20, 1.02-1.40).
  
  
  CONCLUSIONS
  This nationwide heart failure survey indicates a high risk of long-term mortality and the urgent need to develop more effective management strategies for patients with heart failure discharged from hospitals.
authors.affiliation: Recanati Center, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel. mgarty@post.tau.ac.il
authors.forename: Moshe
authors.initials: M
authors.lastname: Garty
authors.forename: Avraham
authors.initials: A
authors.lastname: Shotan
authors.forename: Shmuel
authors.initials: S
authors.lastname: Gottlieb
authors.forename: Moshe
authors.initials: M
authors.lastname: Mittelman
authors.forename: Avi
authors.initials: A
authors.lastname: Porath
authors.forename: Basil S
authors.initials: BS
authors.lastname: Lewis
authors.forename: Ehud
authors.initials: E
authors.lastname: Grossman
authors.forename: Solomon
authors.initials: S
authors.lastname: Behar
authors.forename: Jonathan
authors.initials: J
authors.lastname: Leor
authors.forename: Manfred S
authors.initials: MS
authors.lastname: Green
authors.forename: Reuven
authors.initials: R
authors.lastname: Zimlichman
authors.forename: Abraham
authors.initials: A
authors.lastname: Caspi
mesh_terms: D017677:Age Distribution; D000368:Aged; D006328:Cardiac Catheterization; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007297:Inpatients; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012720:Severity of Illness Index; D017678:Sex Distribution; D013997:Time Factors