Heart failure & cardiomyopathies

Characteristics and Outcomes of Patients with Cancer Hospitalized with New Onset Acute Heart Failure

ESC Heart FailPublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 1.40 99% CI 1.34–1.46

Authors' conclusion

Cancer is a prevalent comorbidity in patients hospitalized with new onset AHF, and it is associated with a poorer prognosis.

Study context

Population
Adults hospitalized with first episode of acute HF, Lombardy, Italy, 2003–2018
Participants
283,144 acute heart failure (AHF) hospitalizations
Exposure
Cancer vs no cancer history
  • Cancern = 55,145
Outcome
In-hospital mortality
Methodological detailsadministrative data, Lombardy, Italy
  • Administrative data
  • Lombardy, Italy

Main finding

As reported in the abstract

Odds ratio

1.40

99% CI 1.34–1.46

By group

Cancer vs No cancer
OR 1.40 (99% CI 1.34–1.46)

Observational data: associations, not effects.

Secondary outcomes

OutcomeCancerNo cancerEstimate
All-cause mortality · 1 yearAdjusted; particularly lung cancer34.9%22.3%HR 1.35 (99% CI 1.32–1.39)
In-hospital mortality, active vs past cancer (subgroup)Similar riskOR 0.99 (99% CI 0.91–1.07)
All-cause mortality, active vs past cancer (subgroup) · 1 yearHR 1.26 (99% CI 1.21–1.31)
  • All-cause mortality: unadjusted P < 0.0001

Original publication

Characteristics and Outcomes of Patients with Cancer Hospitalized with New Onset Acute Heart Failure. ESC Heart Fail. Published 16 October 2024. doi:10.1002/ehf2.14907

Summarised from the published abstract; every number is checked against it

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