Demographics, Precipitating
Factors and Treatment in Acute
Decompensated Heart Failure
Department of Medicine, Buriram Hospital, Buriram, Thailand
Siriraj Medical Bulletin 2022;15(4): 221-227
Rudeekorn Ue-sethasakdhi*, Achiraya Pakngao**, Patarasaya Roekrat**
Abstract
Background: Heart failure is a common cause of hospitalization and has a high mortality rate. Data from
Internal Medicine Department Buriram Hospital for the past 1 year in 2020-2021 found that the patients being
admitted and diagnosed acute decompensated heart failure was 7% of all admissions, 5th ranked among all
inpatients. The clinical features of patients with acute decompensated heart failure are therefore important.
Objective: To study the clinical features, precipitating factors, treatment, mortality rate, in acute decompen-
sated heart failure patients.
Material & Methods: A descriptive study, prospective observational cohort design which included acute
decompensated heart failure patients at internal medicine ward Buriram Hospital between January 2021 and
August 2021 by interviewing history. Clinical features, causes, precipitating factors, treatment, mortality were
collected from medical records.
Results: 132 patients, mean age 64 years, 55% male, 53% had ≥3 atherosclerotic cardiovascular risk factors.
87% had New York Heart Association Functional Classification IV. 47% were heart failure with reduced ejection
fraction. 30% were acute myocardial infarction. 42% developed acute kidney injury. 29% had clinical sepsis.
In-hospital mortality rate was 7.5%. Advanced stage kidney disease is a predictor of in-hospital mortality.
Conclusion: From this study, the acute decompensated heart failure patients were clinically more severe
and had a higher mortality than those in the Thai ADHERE Registry. Encourage follow up treatment, modify
atherosclerotic risk factors and advice patient educations to reduce infection are recommended to prevent
hospitalization and reduce death.
Keywords: heart Failure; precipitating factors; mortality
Correspondence to: Rudeekorn Ue-sethasakdhi
Email address: doctorrudeekorn@gmail.com
Received: 11 May 2022
Revised: 27 July 2022
Accepted: 26 August 2022
http://dx.doi.org/10.33192/smb.v15i4.257749
221
Siriraj Medical Bulletin
   
 
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


222 ี่� 15 ฉั่� 4 ุลาคม - ันวาคม 2565
Original Article





















































































 

 

 



 
 
 
 

 
 
 
 
 
 
 






 
 
 
 



 
223
Siriraj Medical Bulletin
224 ี่� 15 ฉั่� 4 ุลาคม - ันวาคม 2565
Original Article
 



 









 
 

 
 
 


















 
 
 
 
 
 
 
















 










 
 






 
 
 
 

 
 
 








-

 
 
 
 
 
 
 
 
 
 
 
 



 




 

 
 






 
 
 
 
 



 












 
 
 
 
 
 
 



225
Siriraj Medical Bulletin
226 ี่� 15 ฉั่� 4 ุลาคม - ันวาคม 2565
Original Article

   
   
   
   
   

































































































































































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Siriraj Medical Bulletin