Heart failure & cardiomyopathies
Impact of Immigration on Outcomes Following Acute Decompensated Heart Failure: A Retrospective Cohort Study
Authors' conclusion
Immigration status independently predicts worse short- and long-term outcomes in ADHF patients. The findings highlight the need for tailored healthcare policies to address disparities and improve outcomes in immigrant populations.
Study context
- Population
- Patients admitted for acute decompensated heart failure (ADHF) between 2007 and 2017, with follow-up until 2020patients admitted for ADHF, mean follow-up 3.7 ± 3.5 years
- Participants
- 7,457 patients
- Exposure
- Immigrants vs natives
- Outcome
- Age
Methodological detailssingle centre
- Single centre
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Female sex
P < 0.001
| Outcome | Estimate | P value | |
|---|---|---|---|
| 30 day mortalityAdjusted · adjusted analyses | OR 1.37 (95% CI 1.12–1.67) | P = 0.002 | |
| 1 year mortalityAdjusted · adjusted analyses | HR 1.35 (95% CI 1.19–1.52) | P < 0.001 | |
| 5 year mortalityAdjusted · adjusted analyses | HR 1.20 (95% CI 1.12–1.29) | P < 0.001 | |
| In-hospital mortality | OR 1.26 (95% CI 0.98–1.63) | P = 0.07 | |
| 30 day readmissions | OR 0.93 (95% CI 0.79–1.08) | P = 0.31 | |
| 0.512Ratio (log scale) |
5 year mortality, adulthood vs early-life immigrants (stratified)
- Similar 5 year mortality between adulthood and early-life immigrants
Original publication
Impact of Immigration on Outcomes Following Acute Decompensated Heart Failure: A Retrospective Cohort Study. ESC Heart Fail. Published 4 March 2025. doi:10. 1002/ ehf2. 15257
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