Comparação da gravidade dos pacientes internados por insuficiência cardíaca nas redes de saúde pública e suplementar

Abstract

Introduction: Heart failure is a complex clinical syndrome which has prognostic factors that help risk stratification as early as patients hospital admission during a descompensation. Objective: To compare the severity of inpatients with acute decompensated heart failure (DHF) according to the type of care received (public versus supplementary network). Methods: This is a cross-sectional trial part of Sergipe Heart Failure Registry, VICTIM-CHF. Data collection was performed with patients admitted and diagnosed with acute decompensated heart failure according to Framingham and Boston criteria. We compared severity factors such as age, NYHA functional class, reduced systolic blood pressure, and serum creatinine and sodium levels. Results: The sample consisted of 151 patients, 92 (60,93%) from the public service and 59 (39,07%) private. The average age was 62,5 years, 52,98% were men and 83,56% belonged to advanced functional class (III and IV). Of the studied variables, only age, hyponatremia and clinical outcome were statistically significant (p= 0,0001; 0,003; 0,0001, respectively). Hospital discharge corresponded to 93,1% in the private sector and 67,42% in the public. Conclusion: Of the prognostic predictors analyzed in our study, only age and hyponatremia were significant when compared to the type of care received by patients (public or private0. However, they were not sufficient to influence the clinical outcome