Heart failure & cardiomyopathies
A Comparison Between Hospital Follow-Up and Collaborative Follow-Up in Patients with Acute Heart Failure
Main findingResult — go to the resultHazard ratio 1.11 95% CI 0.97–1.27Authors' conclusion
In patients hospitalized for AHF, 41.5% received collaborative follow-up after discharge. The risk of HF hospitalization was higher in the hospital follow-up group than in the collaborative follow-up, although risk of the primary outcome, all-cause death, and cardiovascular death were similar between groups.
Study context
- Population
- Patients hospitalized for acute heart failure (AHF) and discharged home, Kyoto Congestive Heart Failure registry, Japanof 4056 consecutive patients
- Participants
- 2,862 patients
- Exposure
- Hospital follow-up vs collaborative follow-up after discharge
- Hospital follow-upn = 1,674
- Collaborative follow-upn = 1,188reference
- Outcome
- Composite of:
- All-cause death
- Heart failure (HF) hospitalization
- Follow-up
- 1 year after discharge
Methodological detailsregistry-based
- Registry-based
Main finding
As reported in the abstract
1 year
Hazard ratio
1.11
95% CI 0.97–1.27
P = 0.14
By group
Hospital follow-upvs Collaborative follow-up
HR 1.11 (95% CI 0.97–1.27); P = 0.14
Observational data: associations, not effects.
Further findings
| Outcome | Hospital follow-up | Collaborative follow-up | HR (95% CI) | P value | |
|---|---|---|---|---|---|
| All-cause death · 1 yearAdjusted; unadjusted P = 0.35 | 13.1% | 13.9% | 1.10 (0.91–1.33) | P = 0.33 | |
| CV death · 1 yearAdjusted; unadjusted P = 0.96 | 8.4% | 8.2% | 0.96 (0.87–1.05) | P = 0.33 | |
| HF hospitalization · 1 yearUnadjusted incidence P = 0.02 | 25.5% | 21.3% | 1.19 (1.01–1.39) | P = 0.04 | |
| 0.512Hazard ratio (log scale) |
Original publication
A Comparison Between Hospital Follow-Up and Collaborative Follow-Up in Patients with Acute Heart Failure. ESC Heart Fail. Published 13 October 2022. doi:10.
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