Heart failure & cardiomyopathiesCohort study
Heart Failure Specialist Care and Long-Term Outcomes for Patients Admitted With Acute Heart Failure
- Retrospective cohort study
- national audit linked to hospitalization and death records
Authors' conclusion
Receiving HF specialist care during admission for HF is associated with a higher rate of implementation of medical therapy, fewer discharges on diuretic therapy, and lower in-hospital and long-term mortality across the left ventricular ejection fraction spectrum, especially for patients with heart failure with reduced ejection fraction.
Study context
- Population
- Patients admitted with acute heart failure (HF), National Heart Failure Audit, 2018–2022median age 81 years
- Participants
- 227,170 patients
- Exposure
- HF specialist care vs no HF specialist care during admission
- Outcome
- All-cause mortality
Main finding
All-cause (long-term) mortality
Hazard ratio
0.89
95% CI 0.87–0.90
P < 0.001
HF specialist care vs No HF specialist care
HR 0.89 (95% CI 0.87–0.90); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Diuretic therapy at discharge | 0.90 (0.86–0.95) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
| Outcome | OR | P value |
|---|---|---|
| In-hospital mortality · CI as printed in the abstract is malformed; withheld | 0.92 | P < 0.001 |
Diuretic therapy at discharge
- HF specialist care independently associated with a higher rate of prescribing HF therapies at discharge
Original publication
Heart Failure Specialist Care and Long-Term Outcomes for Patients Admitted With Acute Heart Failure. JACC Heart Fail. Published 7 August 2024. doi:10.1016/j.jchf.2024.06.013
Summarised from the published abstract; every number is checked against it