Heart failure & cardiomyopathies

Additive Benefit of Guideline-Directed Medical Therapies at Discharge in Reducing 30-Day Readmissions in Heart Failure

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Increasing number of GDMT classes prescribed at discharge was associated with a gradient reduction in 30-day all-cause and HF readmissions, with a stronger effect seen with higher GDMT counts.

Study context

Population
Adults hospitalised for heart failure (HF) with baseline LVEF ≤40%, 5 institutions, February 2021–October 2024
Participants
2,121 index hospitalizations
Exposure
Number of guideline-directed medical therapy (GDMT) classes prescribed at discharge
Outcome
All-cause readmission
Follow-up
30 days
Methodological detailsmulticentre (5 institutions)
  • Multicentre (5 institutions)

Main finding

As reported in the abstract

30-day all-cause readmission
Each group vs 1 GDMTHazard ratio (95% CI)
2 GDMT
0.79(0.64–0.97)
3 GDMT
0.70(0.55–0.90)
4 GDMT
0.56(0.40–0.77)

Observational data: associations, not effects.

Secondary outcomes

30-day HF readmission

Trends were similar for HF-specific readmissions

Original publication

Additive Benefit of Guideline-Directed Medical Therapies at Discharge in Reducing 30-Day Readmissions in Heart Failure. JACC Adv. Published 4 December 2025. doi:10.1016/j.jacadv.2025.102411

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