Document Type

Article

Publication Title

Emergency and Critical Care Medicine

Abstract

Background

Sepsis is the leading cause of death in hospitalized patients and significant effort has been made to facilitate early diagnosis and management. However, aggressive treatment can have negative effects, especially in patients with unstable volume status, such as those with congestive heart failure.

Methods

We used electronic medical records to perform a retrospective study looking at hospital outcomes in patients from Southwest Missouri who were admitted with sepsis and had a comorbid diagnosis of hypertensive heart failure. Our primary outcome was in-hospital mortality. Results We studied a total of 184 patients with the diagnosis of hypertensive heart failure with sepsis, and 348 patients with the diagnosis of sepsis that served as the baseline group. There was a total of 37 (20%) deaths in the hypertensive heart failure group and a total of 94 (27%) deaths in the baseline group.

Conclusion

Our study showed no significant difference between the baseline group and those with hypertensive heart disease with heart failure.

DOI

10.1097/EC9.0000000000000033

Publication Date

9-2022

Keywords

Congestive heart failure, Hypertension, Hypertensive heart disease, Sepsis

ISSN

2693-860X

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