Heart failure & cardiomyopathies
Incident Heart Failure: Comparing Management and Outcome in Primary and Hospital Settings in Western Sweden 2008–2017
Main finding · All-cause 1-year mortalityResult — go to the resultEstimate 3.92 CI 3.77–4.08Authors' conclusion
Over a 10 year period, we demonstrated the differences in demography, comorbidities and outcomes between heart failure patients managed in hospital care versus primary care.
Study context
- Population
- Adults ≥18 years with first diagnosis of heart failure (HF) (I50), Västra Götaland Region, Sweden, 2008–2017
- Participants
- 35,375 new-onset HF cases
- Exposure
- HF managed in hospital care vs primary care
- Hospital care (HC)n = 16,651
- Primary care (PC)n = 18,722reference
- Outcome
- All-cause mortality
- Follow-up
- 1 year
Methodological detailsadministrative database
- Administrative database
Main finding
All-cause 1-year mortality
Estimate
3.92
CI 3.77–4.08
P < 0.0001
As reported in the abstract
Observational data: associations, not effects.
Further findings
Baseline characteristics · value = age HC 76.1 ± 13.6 · PC 80.7 ± 10.9
Women
Trend in HC vs PC HR over 10 years · 2008–2017
- Despite decreasing mortality in both settings, HRs for HC vs PC significantly increased; more marked in women and 70–80-year-olds
- P for interaction 0.0004
Baseline characteristics
- PC: more hypertension, musculoskeletal and mental disorders, less MI
Original publication
Incident Heart Failure: Comparing Management and Outcome in Primary and Hospital Settings in Western Sweden 2008–2017. ESC Heart Fail. Published 15 November 2024. doi:10.
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