%0 Journal Article
%T Long-Term Re-Admission after Hospital Discharge in Patients Admitted with Acute Heart Failure: The Prognostic Value of the Six-Minute Walk Test Distance
%A Dakabou¨¦ Germain Mandi
%A Dangw¨¦ Temoua Naib¨¦
%A Joel Bamouni
%A R¨¦lwend¨¦ Aristide Yam¨¦ogo
%A Yibar Kambir¨¦
%A Koudougou Jonas Kologo
%A Georges Rosario Christian Millogo
%A Nobila Valentin Yam¨¦ogo
%A Anna Thiam Tall
%A Patrice Zabsonr¨¦
%J Open Access Library Journal
%V 5
%N 9
%P 1-11
%@ 2333-9721
%D 2018
%I Open Access Library
%R 10.4236/oalib.1104841
%X
Background: We sought the value of the six-minute walk test distance in predicting re-admission in patients with chronic heart failure (CHF) in the department of cardiology, Yalgado Ou¨¦draogo University Hospital, Ouaga-dougou, Burkina Faso. Methods: We did a prospective observational study in patients hospitalized with acute decompensated heart failure and who underwent a 6-minute walk test (6-MWT) at their discharge from hospital. The primary end-point was hospital re-admission for heart failure de-compensation. Results: Sixty-one patients (52% females, mean age 46.9 ˇŔ 14.1 years, mean left ventricular ejection fraction 32.4 ˇŔ 8.2%, mean 6-MWT distance 336.3 ˇŔ 65 meters) were followed-up for a 277.6 ˇŔ 129.8 daysˇŻ period. Twenty-one patients (45.3 percent person-years) were re-admitted. Re-admitted patients had shorter 6-MWT distance (p = 0.007) and were more likely to die than those who were not re-admitted (RR = 1.72, 95% CI = 1.13 - 2.62, p = 0.003). Multivariate Cox regression analysis showed that re-admission was independently predicted by shorter 6-MWT distance (p < 0.001), New York Heart Association class III (p = 0.03), older age p = 0.03) and lower LVEF (p = 0.02). Conclusion: Distance covered during the six-minute walk test is an independent predictor of hospital re-admission for heart failure decompensation in patients with chronic heart failure.
%K Six-Minute Walk Test
%K Heart Failure
%K Re-Admission
%K Cardiac Rehabilitation
%K Africa
%U http://www.oalib.com/paper/5299222