Acute cardiac care & resuscitation
Impact of Advanced Therapy Centers on Characteristics and Outcomes of Heart Failure Admissions
Authors' conclusion
Patients with HF treated at ATCs were sicker but associated with higher procedural volume and lower adjusted mortality.
Study context
- Population
- Heart Failure (HF) hospitalizations, Nationwide Readmissions Database 2016–2019hospitalizations
- Participants
- 2,331,690 / 525,037 / 15,541
- Exposure
- Admissions to advanced therapy centers (ATCs) and transfers to ATCs vs admissions to non-ATCs
- Non-ATCn = 2,331,690reference
- ATCn = 525,037
- Transfer to ATCn = 15,541
- Outcome
- In-hospital mortality
Methodological detailsNationwide Readmissions Database 2016–2019, multivariable logistic regression
- Nationwide Readmissions Database 2016–2019
- Multivariable logistic regression
Main finding
As reported in the abstract
Mortality
Odds ratio (95% CI)P value
ATCsvs Non-ATCs
0.82(0.78–0.87)
P < 0.001Transferred to ATCsvs Non-ATCs
0.66(0.57–0.78)
P < 0.001Observational data: associations, not effects.
Further findings
Mortality, severe HF admissions (cardiogenic shock, cardiac arrest, mechanical ventilation) — ATCs vs Non-ATCs · unadjusted
P < 0.001
| Outcome | P value |
|---|---|
| Mortality, severe HF admissions (cardiogenic shock, cardiac arrest, mechanical ventilation)Transferred to ATCs vs Non-ATCs · unadjusted | P < 0.001 |
Mortality, severe HF admissions (cardiogenic shock, cardiac arrest, mechanical ventilation)
- Similarly lower multivariable-adjusted mortality at ATCs
HF decompensations, procedural frequency, length of stay, costs
- Higher at ATCs, especially in transferred patients
Original publication
Impact of Advanced Therapy Centers on Characteristics and Outcomes of Heart Failure Admissions. Circ Heart Fail. Published 8 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →