Risk Factors for Poor Prognosis in Patients with Chronic Heart Failure Based on Logistic Regression Equation
Objective To investigate the prognosis of patients with chronic heart failure(CHF)at 6 months after discharge,analyze its influencing factors.Methods The clinical data of 147 patients with CHF who received systematic treatment in hospital from May 2020 August 2022 were retrospectively analyzed,and the poor prognosis 6 months after discharge was analyzed.Single factor analysis was used to screen out possible influencing factors of poor prognosis,and independent risk factors were determined by parallel Logistic regression analysis.Results Forty-eight Cases(32.65%)of 147 CHF patients had poor prognosis 6 months after discharge.There were significant differences in age,hyperlipidemia,atrial fibrillation,NYHA grade,anemia,uric acid(UA),serum creatinine(Scr),blood urea nitrogen(BUN),glomeruar filtration rate(GFR),brain natriuretic peptide(BNP),Charlson comorbidity index(CCI)score and self-care ability between the poor prognosis group and good prognosis group(P<0.05).Age(≥ 60 years),anemia,UA(>360 μmol·L-1),BUN(>7.1 mmol·L-1),BNP(>1006 ng·L-1),CCI score(3 points)and self-care ability(heavy dependence)were independent risk factors for poor prognosis in CHF patients(P<0.05).Conclusion Poor prognosis of CHF patients is mainly related to age,anemia,UA,BUN,BNP,CCI score,self-care ability,etc.