Heart failure & cardiomyopathies

Long-Term Clinical Outcomes and Healthcare Resource Utilization in Male and Female Patients Following Hospitalization for Heart Failure

Eur J Heart FailPublished Secondary analysis of the PACT-HF randomised trial

Authors' conclusion

Among people discharged alive after hospitalization for HF, there were no sex differences in total and annual deaths, readmissions, and ED visits, or in total direct healthcare costs.

Study context

Population
Patients discharged alive after hospitalization for heart failure (HF) across 10 Canadian hospitals50.7% female
Participants
4,441 patients
Comparison
Male vs female patients
Primary endpoint
All-cause mortality
Follow-up
5 years
Methodological detailsexploratory analysis, cluster-randomised, 10 Canadian hospitals, Outcomes obtained via linkages with administrative datasets
  • Exploratory analysis
  • Cluster-randomised
  • 10 Canadian hospitals
  • Outcomes obtained via linkages with administrative datasets

Primary result

As reported in the abstract

P = 0.19

Secondary outcomes

Readmitted · 5 years

P = 0.35

ED care without hospitalization · 5 years

P = 0.34

Annual direct healthcare cost per patient

P = 0.90

Mean

OutcomeMaleFemaleP value
All-cause readmissions per person2.8 (SD 7.8)3.0 (SD 8.4)P = 0.54
HF readmissions per person0.9 (SD 3.6)0.9 (SD 4.5)P = 0.80
ED visits per person1.8 (SD 11.3)1.5 (SD 6.0)P = 0.24

Healthcare resource use by type

Males received more specialist, multidisciplinary HF clinic, haemodialysis and day surgical care
Females received more home visits, continuing/convalescent care and long-term care
Annualized clinical events highest in first year after index discharge in both sexes

Original publication

Long-Term Clinical Outcomes and Healthcare Resource Utilization in Male and Female Patients Following Hospitalization for Heart Failure. Eur J Heart Fail. Published 5 November 2024. doi:10.1002/ejhf.3499

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