411Mini nutritional assessment short form tool for nurse quick screening of nutritional status in an outpatient heart failure unit (original) (raw)

2018, European Heart Journal

Risk of sudden death in hypertrophic cardiomyopathy / Advanced nursing roles within cardiology 55 The International Classification of Diseases-Ninth Revision (ICD-9) codes were utilized to identify patients with diagnosis of HCM as well as those who underwent ICD implantation. Demographics, annual implantation rates, in-hospital mortality, complications and length of stay were analyzed. Results: From 2008 to 2014, an estimated total of 171,305 patients with diagnosis of HCM were admitted to the hospitals in U.S. Out of them, 5,805 patients underwent ICD implantation. About 38% of patients undergoing ICD implantation were electively admitted; and about 47.3% had a prior ventricular tachycardia, ventricular fibrillation or cardiac arrest. Overall, in-patient mortality was 0.03% while 11.1% patients had at least one complication. Most frequent complications were hemorrhagic (n=285, 4.9%), followed by cardiac (n=208, 3.6%) and pericardial complications (n=121, 2%). The mean length of stay was 5.3 days. The site of ICD implantations was more likely to be urban teaching hospitals (80%), with higher bed-size (78%) and located in southern US (33%). During our study period, there was no significant trend in in-hospital mortality and overall complications. However, rate of pericardial complications increased from 0.016 to 0.028 (p=0.001). Increased length of stay was a significant predictor of occurrence of any complication (OR: 1.173; 95% CI: 1.154-1.191). Interestingly, about 8.5% with all HCM patients during our study period had a prior ventricular tachycardia, ventricular fibrillation or cardiac arrest. However, only 17.6% of those patients received ICD implantation. Conclusion: From 2008-2014, about 3.4% patients with HCM underwent ICD implantation. About half of them did not have any reported prior ventricular tachycardia, ventricular fibrillation of cardiac arrest, suggestive of primary prevention. In-hospital mortality and complications through our study period did not show any significant trend. 403 An international validation study of the 2014 european society of cardiology sudden cardiac death risk prediction model in childhood hypertrophic cardiomyopathy