Research Article

Congestive Heart Failure Patients’ Pulse Rate Progression and Time to Death at Debre Tabor Referral Hospital, Ethiopia

Table 5

Joint model analysis of PR and the time to death of CHF patient’s data at DTRH.

Longitudinal processSurvival process
ParameterSe () valueParameterSe ()HR value

Intercept103.154.71<0.001Sex (male)1.3930.7614.0270.028
Age−0.0970.0420.021Residence (urban)0.0900.8421.0940.020
Residence (urban)−3.5901.8700.006LVEF−0.0260.0110.9740.027
Sex (male)5.9101.9600.003Weight−0.0170.0170.9830.326
HTN (yes)1.5171.7600.039HTN (yes)0.7370.9202.0900.423
CHF type (ref = biventricular)
Right ventricular−2.6792.1300.209Right ventricular−0.5730.8230.5640.485
Left ventricular−3.8712.0570.012Left ventricular0.6140.5731.8480.284
LVEF−0.1610.047<0.001NYHA class
NYHA (ref = class II)Class III3.0102.95720.290<0.001
Class III3.6322.2390.105Class IV3.5702.77335.520<0.001
Class IV8.3142.159<0.001CKD (yes)−0.6000.9460.5490.526
DM (yes)5.3142.0110.008DM (yes)0.3130.4391.3680.005
TB (yes)7.0172.5030.005TB (yes)1.1410.6313.1300.071
Etiology (ref = VHD)Gamma_1 (α)0.0180.0091.0180.045
HHD−6.3992.4240.008
IHD0.9912.8450.728
Cor pulmonale−2.0613.0580.500
Dilated cardiomyopathy−2.4392.5610.341
Other etiologies−1.9282.7510.484
Observation time−0.6770.2160.002
Random effectStd. dev
Intercept(b0i)202.930
Obstime(b1i)5.795
Cov(b0i,b1i)−26.890
Residual (εi)9.914

CHF = congestive heart failure, CKD = chronic kidney disease, DM = diabetes mellitus, HHD = hypertensive heart disease, HTN = hypertension, IHD = ischemic heart disease, LVEF = left ventricular ejection fraction, NYHA = New York Heart Association, PR = pulse rate, Ref = reference category, Se = standard error, TB = tuberculosis, and VHD = valvular heart disease.