Heart failure & cardiomyopathiesCohort study
Global Variations According to Sex in Patients Hospitalized for Heart Failure in the REPORT-HF Registry
- Prospective registry study
- international
- 44 countries
Authors' conclusion
Women were less likely to have diagnostic testing or receive guideline-directed care than men. A survival advantage for women was observed only in countries with low income disparity, suggesting that equity of HF care between sexes remains an unmet goal worldwide.
Study context
- Population
- Patients hospitalized for acute HF in 44 countries (REPORT-HF registry), stratified by country income level, income disparity and world region
- Participants
- 18,553 patients · 44 countries
- Exposure
- Women vs men
- Womenn = 7,181
- Menn = 11,372reference
- Outcome
- All-cause mortality
- Follow-up
- 1 year
Main finding
As reported in the abstract
1-year all-cause mortality (survival) by country income disparity
Advantage lost in countries with greater income disparity
Pinteraction < 0.001
Observational data: associations, not effects.
Further findings
Treatments that could worsen HF
P < 0.0001
Diagnostic testing and revascularization
- Coronary angiography, cardiac stress tests and coronary revascularization less frequent in women than men
- Women with acute heart failure (AHF) and reduced LVEF less likely to receive an implanted device, regardless of region or country income level
Original publication
Global Variations According to Sex in Patients Hospitalized for Heart Failure in the REPORT-HF Registry. JACC Heart Fail. doi:10.1016/j.jchf.2023.06.028
Summarised from the published abstract; every number is checked against it