NYMC Faculty Publications
Impact of Acute Kidney Injury on In-Hospital Outcomes Among Patients Hospitalized with Acute Heart Failure - A Propensity-Score Matched Analysis
DOI
10.1016/j.ejim.2020.05.044
Journal Title
European Journal of Internal Medicine
First Page
76
Last Page
80
Document Type
Article
Publication Date
9-2020
Department
Medicine
Abstract
AIM: We sought to determine the impact of acute kidney injury (AKI) on in-hospital outcomes in patients presenting with acute heart failure (AHF). Data from National Inpatient Sample (2012- 14) were used to identify patients with the principal diagnosis of AHF and the concomitant secondary diagnosis of AKI.
METHODS: Propensity score matching was performed on 30 baseline variables to identify a matched cohort. The outcome of interest was in-hospital mortality. We further evaluated in-hospital procedures and complications.
RESULTS: Of 1,470,450 patients admitted with AHF, 24.3% had AKI. After propensity matching a matched cohort of 356,940 patients was identified. In this matched group, the AKI group had significantly higher in-hospital mortality (3.8% vs 1.7%, p
CONCLUSION: In this propensity score-matched cohort of AHF with and without AKI, the risk of in-hospital mortality was >2-fold in the AKI group. Healthcare utilization and burden of complications were higher in the AKI group.
Recommended Citation
Shetty, S., Malik, A. H., Ali, A., Yang, Y., Aronow, W. S., & Briasoulis, A. (2020). Impact of Acute Kidney Injury on In-Hospital Outcomes Among Patients Hospitalized with Acute Heart Failure - A Propensity-Score Matched Analysis. European Journal of Internal Medicine, 79, 76-80. https://doi.org/10.1016/j.ejim.2020.05.044