Heart failure & cardiomyopathies

Impact of Age on Characteristics, Performance Measures and Outcomes of Inpatients for Heart Failure in Beijing, China

ESC Heart FailPublished Cohort study

Authors' conclusion

HF patients aged ≥75 years had distinct clinical profiles, received worse in-hospital therapies and experienced higher in-hospital and 1 year mortality.

Study context

Population
Heart failure (HF) inpatients admitted to five tertiary and four secondary hospitals of the Capital Medical University, Beijing, China
Participants
1,244 vs 1,419
Exposure
HF inpatients aged ≥75 years vs <75 years
  • ≥75 yearsn = 1,244
  • <75 yearsn = 1,419reference
Outcome
Age-related differences in performance measures and in-hospital and 1-year mortality
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Mortality, older (≥75 years) vs younger (<75 years) patients

In-hospital mortality, older vs younger

2.7% vs. 1.3%

P = 0.011

1-year mortality, older vs younger

21.7% vs. 12.5%

P < 0.001

Observational data: associations, not effects.

Further findings

LVEF assessment, younger vs older

LVEF assessed, younger vs older
81.7% vs. 80.5%, P = 0.426

BNP/NT-proBNP testing, younger vs older

BNP/NT-proBNP tested, younger vs older (lower in younger)
84.8% vs. 89%, P = 0.001

Discharge therapy in HFrEF, older vs younger

Beta-blockers, older vs younger
49.74% vs. 63.2%, P = 0.002
ACEi/ARB, older vs younger
52.9% vs. 64.7%, P = 0.006
Beta-blocker + ACEi/ARB, older vs younger
28.57% vs. 45.5%, P < 0.001
MRA, older vs younger (equally likely)
80.8% vs. 84.1%, P = 0.322

Predictors of mortality

Higher BMI associated with better outcomes in both age groups
NYHA class IV and eGFR < 60 mL/min/1.73 m² independent predictors of 1-year mortality
Associations between characteristics and mortality not modified by age

Original publication

Impact of Age on Characteristics, Performance Measures and Outcomes of Inpatients for Heart Failure in Beijing, China. ESC Heart Fail. Published 1 August 2023. doi:10.1002/ehf2.14487

Composed by AI from the published abstract and checked against it. How Briefs are made →

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