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Contemporary Profile and In-Hospital Outcomes of Decompensated Heart Failure in a Semi-Rural Setting in Cameroon: The Buea Heart Study Cover

Contemporary Profile and In-Hospital Outcomes of Decompensated Heart Failure in a Semi-Rural Setting in Cameroon: The Buea Heart Study

Open Access
|Jun 2025

Figures & Tables

Table 1

General characteristics of the study population.

VARIABLEFREQUENCY (%) OR MEAN ± SD
Age60.3 ± 16.5
Sex, Female254 (53.3)
Atrial fibrillation99 (20.8)
Previous stroke21 (4.4)
Hypertension265 (55.6)
Diabetes mellitus84 (17.6)
Smoking
    Never387 (81.1)
    Former54 (11.3)
    Current36 (7.6)
Alcohol68 (14.3)
Chronic kidney disease67 (14.1)
COPD42 (8.1)
HIV30 (6.3)
SBP141.2 ± 36.1
DBP93.4 ± 23.4
Heart rate102.8 ± 21.3
Hemoglobin (g/dl)11.5 ± 2.4
eGFR(L/min)58.4 ± 33.6
Sodium (mmol/l)140.5 ± 7.2
Potassium (mmol/l)4.3 ± 2.4
LVEF (%)38.2 ± 17.7

[i] COPD: chronic obstructive pulmonary disease; DBP: diastolic blood pressure; eGFR: estimated glomerular filtration rate; HIV: human immunodeficiency virus; LVEF: left ventricular ejection fraction; SBP: systolic blood pressure; SD: standard deviation.

Table 2

Etiology of heart failure.

VARIABLEFREQUENCY (%)
Hypertensive heart disease199 (41.7)
Dilated cardiomyopathy57 (11)
Ischemic heart disease72 (15)
Rheumatic heart disease23 (4.8)
Degenerative valvular disease26 (5.5)
Cor pulmonale57 (11.9)
Tachyarrhythmias20 (4.2)
Infective endocarditis4 (0.8)
Peripartum cardiomyopathy6 (1.3)
Pericardial effusion9 (1.9)
Others4 (0.8)
Table 3

Factors associated with prolonged length of stay.

VARIABLEUNIVARIABLE ANALYSISMULTIVARIABLE ANALYSIS
OR (95%CI)P VALUEOR (95%CI)P VALUE
Age1.00 (0.99–1.01)0.5631.00 (0.99–1.01)0.941
Male sex1.02 (0.71–1.46)0.9121.16 (0.79–1.71)0.459
Diabetes Mellitus1.25 (0.78–2.00)0.362
Atrial fibrillation2.12 (1.34–3.35)0.0012.04 (1.24–3.35)0.005
COPD1.77 (0.93–3.40)0.0841.63 (0.81–3.30)0.175
SBP0.99 (0.99–1.00)0.0020.99 (0.99–1.00)0.005
eGFR1.00 (0.99–1.00)0.583
Hemoglobin0.94 (0.86–1.01)0.0970.94 (0.86–1.02)0.148
Sodium0.96 (0.93–0.99)0.0040.96 (0.93–0.99)0.010
VHD0.56 (0.31–0.99)0.0480.49 (0.26–0.91)0.023

[i] COPD: chronic obstructive pulmonary disease; eGFR: estimated glomerular filtration rate; SBP: systolic blood pressure; VHD: valvular heart disease.

For continuous variable, odds ratios are reported per 1 unit increment.

Table 4

Factors associated with in-hospital mortality.

VARIABLEUNIVARIABLE ANALYSISMULTIVARIABLE ANALYSIS
OR (95%CI)P VALUEOR (95%CI)P VALUE
Age1.00 (0.99–1.02)0.5861.01 (0.99–1.03)0.260
Male sex0.44 (0.24–0.80)0.0070.55 (0.28–1.06)0.074
Diabetes Mellitus0.74 (0.34–1.62)0.452
Atrial fibrillation1.28 (0.67–2.45)0.451
COPD1.85 (0.81–4.23)0.1432.09 (0.81–5.41)0.130
SBP0.99 (0.98–0.99)0.0010.99 (0.98–0.99)0.033
eGFR0.98 (0.97–0.99)0.0010.98 (0.97–0.99)0.001
Hemoglobin0.93 (0.83–1.05)0.267
Sodium0.92 (0.88–0.96)< 0.0010.93 (0.89–0.97)< 0.001
LVEF1.00 (0.99–1.02)0.460
VHD2.04 (0.99–4.23)0.0542.40 (1.02–5.64)0.045
Dobutamine9.63 (3.35–27.71)< 0.0014.37 (1.11–17.16)0.034

[i] COPD: chronic obstructive pulmonary disease; eGFR: estimated glomerular filtration rate; LVEF: left ventricular ejection fraction; SBP: systolic blood pressure; VHD: valvular heart disease.

For continuous variable, odds ratios are reported per 1 unit increment.

DOI: https://doi.org/10.5334/gh.1442 | Journal eISSN: 2211-8179
Language: English
Submitted on: Dec 1, 2024
Accepted on: Jun 12, 2025
Published on: Jun 23, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Clovis Nkoke, Jean Jacques Noubiap, Siddikatou Djibrilla, Ali Abas, Ahmadou Musa Jingi, Ulrich Flore Nyaga, Gijo Thomas, Alain Menanga, Samuel Kingue, Anastase Dzudie, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.