Heart failure & cardiomyopathies

Hospitalization for Acute Heart Failure During Non-Working Hours Impacts on Long-Term Mortality: The REPORT-HF Registry

ESC Heart FailPublished Registry-based cohort study

Main finding · Mortality at 1 yearResult — go to the resultHazard ratio 0.88 95% CI 0.80–0.96

Authors' conclusion

Acute heart failure patients admitted during the night shift and non-working hours had shorter length of stay but similar in-hospital mortality. However, patients admitted during non-working hours were at a higher risk for 1 year mortality.

Study context

Population
Acute HF patients, global REPORT-HF registry
Participants
18,553 patients
Exposure
Admission during working hours vs non-working hours
Outcome
Mortality at 1 year
Follow-up
1 year
Methodological detailsglobal registry
  • Global registry

Main finding

As reported in the abstract

Hazard ratio

0.88

95% CI 0.80–0.96

P = 0.003

Working hoursvs Non-working hours
HR 0.88 (95% CI 0.80–0.96); P = 0.003

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Hospital length of stayMorningvs Night1.08 (1.06–1.10)P < 0.001
Hospital length of stayEveningvs Night1.10 (1.07–1.12)P < 0.001
Hospital length of stayWorking hoursvs Non-working hours1.03 (1.02–1.05)P < 0.001

In-hospital mortality

No significant differences among the groups

Original publication

Hospitalization for Acute Heart Failure During Non-Working Hours Impacts on Long-Term Mortality: The REPORT-HF Registry. ESC Heart Fail. Published 30 August 2023. doi:10.1002/ehf2.14506

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