Heart failure & cardiomyopathies
Assessing Heuristic Bias During Care for Patients Hospitalized for Heart Failure: Get With The Guidelines-Heart Failure
Authors' conclusion
In a large registry of patients hospitalized for heart failure, we did not detect a left digit bias' with respect to age at discharge, which resulted in differential quality of care or outcomes.
Study context
- Population
- Patients hospitalised for HF, Get With The Guidelines-Heart Failure registry, 2005–2021
- Participants
- 8,567 patients
- Exposure
- Discharge within 60 days after vs within 60 days before 80th birthday
- Prior to their 80th birthdayn = 4,238reference
- After their 80th birthdayn = 4,329
- Outcome
- In-hospital quality metrics and in-hospital outcomes (left digit bias by age)
Methodological detailsregistry-based, natural experiment (discharge before vs after 80th birthday)
- Registry-based
- Natural experiment (discharge before vs after 80th birthday)
Main finding
As reported in the abstract
In-hospital quality metrics and outcomes
- Discharge date relative to 80th birthday not associated with in-hospital quality metrics or outcomes (unadjusted or adjusted)
Observational data: associations, not effects.
Further findings
Mortality or readmission (Medicare beneficiaries) · 1-year postdischarge
| HR (95% CI) | P value | ||
|---|---|---|---|
| Discharge dateNo association; Medicare beneficiaries · adjusted Cox regression | 1.03 (0.95–1.12) | P = 0.52 | |
| 0.512Hazard ratio (log scale) |
Original publication
Assessing Heuristic Bias During Care for Patients Hospitalized for Heart Failure: Get With The Guidelines-Heart Failure. Circ Heart Fail. Published 2 December 2022. doi:10.
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