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Acute Hemodynamic Index as a Predictor of In-Hospital Mortality in Mechanical Ventilated Acute Decompensated Heart Failure Patients

Heart Science Journal · Vol. 4 No. 1 (2023) · hlm. 24–29

DOI
10.21776/ub.hsj.2023.004.01.4
ISSN
2721-9984, 2721-9976
Terbit
2023-01-29
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: The likelihood of a poor clinical outcome is significantly increased in patients with acute decompensated heart failure. Mechanical ventilation was necessary for 23% of ADHF patients receiving treatment. The simple parameters of blood pressure and heart rate have good accuracy and repeatability. The development of the Acute Hemodynamic Index allowed for the calculation of pulse pressure and heart rate to be used as a basis for predicting intrahospital mortality.Methods: The medical records of patients who received care at CVCU RSSA were used in this retrospective, single-center study. ROC analysis and multivariate regression analysis were used to evaluate the prognostic performance of AHI. Statistical significance was determined by the P value of 0.05 or lower.Results: 252 patients with heart failure and low ejection fraction had their data analyzed. Hospital mortality is 82 percent. The cut-off was 4.19 mmHg/bpm, which was the AHI value. 68.8% of patients with fatal illnesses had low AHIs ( 4.19 mmHgbpm). AHI > 4.19 mmHgbpm patients have a 9-fold increased risk of dying in the hospital than patients with low AHI. AUC: 0.825 [0.743-0.907]; sensitivity: 0.814; specificity: 0.689; AUC: 0.825 [0.743-0.907; p = 0.000]; demonstrate the high predictive power of AHI.Conclusion: AHI has a strong degree of association with the likelihood of dying in the hospital from acute decompensated heart failure.

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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya54
Indra PrasetyaUniversity of Brawijaya38
Anna Fuji RahimahUniversity of Brawijaya29
Cholid Tri TjahjonoUniversity of Brawijaya23
Sasmojo WiditoUniversity of Brawijaya21
Novi KurnianingsihUniversity of Brawijaya21
Djanggan SargowoUniversity of Brawijaya16
Heny MartiniUniversity of Brawijaya16
Wella KarolinaUniversity of Brawijaya9
Yoga WaranugrahaUniversity of Brawijaya6
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya6
Adhika Prastya WikanandaUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya5
Olivia HandayaniUniversity of Brawijaya4
Putri Annisa KamilaUniversity of Brawijaya4
Muhammad Saifur RohmanAfiliasi tidak diketahui4
Anna Fuji RahimahAfiliasi tidak diketahui4
Shalahuddin Suryo BaskoroUniversity of Brawijaya4
Nikhen NoverikeUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya3
Yoseph Budi UtomoUniversity of Brawijaya3
Fahmy RusnantaUniversity of Brawijaya3
Anita Surya SantosoAfiliasi tidak diketahui3
Krishna Ari NugrahaUniversity of Brawijaya3
Harris KristantoUniversity of Brawijaya3
Tri AstiawatiUniversity of Brawijaya3
Tria Yudha NugrahaUniversity of Brawijaya3
Lutfi Hafiz ZunardiUniversity of Brawijaya3
Yuri AfifahUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Fitranti Suciati LaitupaUniversity of Brawijaya2
Seprian WidasmaraUniversity of Brawijaya2
Ayu Asri Devi AdityawatiUniversity of Brawijaya2
Imelda KrisnasariUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Acute Hemodynamic Index as a Predictor of In-Hospital Mortality in Mechanical Ventilated Acute  Decompensated Heart Failure Patients</dc:title>
	<dc:creator xml:lang="en">Kurniawan, Dea Arie</dc:creator>
	<dc:creator xml:lang="en">Anjarwani, Setyasih</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Satrijo, Budi</dc:creator>
	<dc:creator xml:lang="en">Yogibuana, Valerinna</dc:creator>
	<dc:subject xml:lang="en">AHI</dc:subject>
	<dc:subject xml:lang="en">In-Hospital Mortality</dc:subject>
	<dc:subject xml:lang="en">Mechanical Ventilation</dc:subject>
	<dc:subject xml:lang="en">ADHF</dc:subject>
	<dc:description xml:lang="en">Background: The likelihood of a poor clinical outcome is significantly increased in patients with acute decompensated heart failure. Mechanical ventilation was necessary for 23% of ADHF patients receiving treatment. The simple parameters of blood pressure and heart rate have good accuracy and repeatability. The development of the Acute Hemodynamic Index allowed for the calculation of pulse pressure and heart rate to be used as a basis for predicting intrahospital mortality.Methods: The medical records of patients who received care at CVCU RSSA were used in this retrospective, single-center study. ROC analysis and multivariate regression analysis were used to evaluate the prognostic performance of AHI. Statistical significance was determined by the P value of 0.05 or lower.Results: 252 patients with heart failure and low ejection fraction had their data analyzed. Hospital mortality is 82 percent. The cut-off was 4.19 mmHg/bpm, which was the AHI value. 68.8% of patients with fatal illnesses had low AHIs ( 4.19 mmHgbpm). AHI &amp;gt; 4.19 mmHgbpm patients have a 9-fold increased risk of dying in the hospital than patients with low AHI. AUC: 0.825 [0.743-0.907]; sensitivity: 0.814; specificity: 0.689; AUC: 0.825 [0.743-0.907; p = 0.000]; demonstrate the high predictive power of AHI.Conclusion: AHI has a strong degree of association with the likelihood of dying in the hospital from acute decompensated heart failure.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-01-29</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1380</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.01.4</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 1 (2023): Optimizing Outcome in Acute Cardiac Care; 24-29</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1380/235</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Dea Arie Kurniawan, Setyasih Anjarwani, Ardian Rizal, Budi Satrijo, Valerinna Yogibuana</dc:rights>
</oai_dc:dc>