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Admission or Changes in Renal Function During Hospitalization for Worsening Heart Failure Predict Postdischarge Survival Results From the Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure (OPTIME-CHF) Liviu Klein, MD, MS; Barry M. Massie, MD; Jeffrey D. Leimberger, PhD; Christopher M. O’Connor, MD; Ileana L. Piña, MD; Kirkwood F. Adams, Jr, MD; Robert M. Califf, MD; Mihai Gheorghiade, MD; for the OPTIME-CHF Investigators Background—Admission measures of renal function (blood urea nitrogen [BUN], estimated glomerular filtration rate [eGFR]) in patients hospitalized for worsening heart failure are predictors of in-hospital outcomes. Less is known about the changes and relationships among these variables and the postdischarge survival rate. Methods and Results—In a retrospective analysis of 949 patients from the Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure, we investigated the relation between admission values and changes in 1 2 BUN and eGFR and rate of death by 60 days after discharge. On admission, median eGFR was 51 mL · min · 1.73 m 1 2 (interquartile range, 37 to 70 mL · min · 1.73 m ), and BUN was 25 mg/dL (interquartile range, 17 to 41 mg/dL). On 1
Circulation: Heart Failure – Wolters Kluwer Health
Published: May 1, 2008
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