Heart failure & cardiomyopathies

Determinants of Survival in Patients with Chronic Heart Failure: A Population-Based Study in Reggio Emilia, Italy

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Although clinical determinants outweigh the geographic and behavioural disparities in the survival of patients with CHF treated in primary care

Study context

Population
Prevalent heart failure (HF) cases diagnosed before 31 December 2015 in Reggio Emilia, Italy, alive on 1 January 2016, followed to 31 December 2019
Exposure
Area of residence vs city
Outcome
Case fatality
Follow-up
4 years
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

4-year case fatality
Risk of death; Cox model adjusted for age, sex, disease duration
Each group vs cityHazard ratio (95% CI)
Mountains
1.10(0.73–1.66)
Hills
1.11(0.90–1.37)
Overall 4-year case-fatality rate
36.7%

Observational data: associations, not effects.

Further findings

OutcomeMountainsLowlandCity
Age and sex-adjusted HF prevalence by area of residence149.9 (95% CI 112.1–187.7)340.8 (95% CI 308.7–372.9)308 (95% CI 276.0–321.2)
  • Age and sex-adjusted HF prevalence by area of residence: standard European population 2013

Enrolment in integrated care pathway · 4 years

Patients enrolled in integrated care pathway
197 (12.1%)

Original publication

Determinants of Survival in Patients with Chronic Heart Failure: A Population-Based Study in Reggio Emilia, Italy. ESC Heart Fail. Published 5 October 2023. doi:10.1002/ehf2.14557

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