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Effect of elevated admission serum creatinine and its worsening on outcome in hospitalized patients with decompensated heart failure

The American Journal of CardiologyPublished 30 September 2004
Mohammed W. Akhter, Doron Aronson, Fahed Bitar, Salman Khan, Harpreet Singh, Rajinder Singh
Citations169
SJR quartileQ2
SJR score0.93
SNIP0.73

TL;DR

An increase in serum creatinine in the hospital results in a significantly longer length of stay and has an independent effect on long-term mortality.

Abstract

Renal insufficiency (RI), as represented by elevated serum creatinine (>1.5 mg/dl) on admission, is common and found in almost half of patients hospitalized with decompensated heart failure. This finding is associated with prolongation of length of stay and rate of rehospitalizations after discharge and also has an independent unfavorable effect on 6-month mortality. Similarly, an increase in serum creatinine (>0.5 mg/dl) in the hospital results in a significantly longer length of stay and has an independent effect on long-term mortality.

Keywords

Medicine