Heart failure & cardiomyopathies
Missed Opportunities in the Diagnosis of Heart Failure: A Real-World Assessment
Authors' conclusion
Relatively few patients with a first hHF had primary care records of signs or symptoms prior to admission. Of these, nearly half had inadequate management considering diagnosis and treatment.
Study context
- Population
- Patients with a first heart failure (HF) hospitalization (hHF), 2017–2020, large health care organization in Portugalmedian age 81
- Participants
- 2,436 patients
- Outcome
- Missed opportunities for HF diagnosis and management at the primary care physician (PCP) level (absence of lab results and ECG, natriuretic peptides, echocardiogram, referral to HF specialist, or HF medication initiation within 6 months after recorded signs or symptoms)
- Follow-up
- Before a first hHF
Methodological detailselectronic health records
- Electronic health records
Main finding
As reported in the abstract
Missed opportunities before first hHF
Patients with records of HF signs or symptoms
720
30%
Signs or symptoms recorded within 6 months prior to hHF
94%
n = 674
Adequate clinical management before signs and symptoms recorded
410
57%
Inadequate follow-up among the remaining 310 patients
155
50%
Observational data: associations, not effects.
Original publication
Missed Opportunities in the Diagnosis of Heart Failure: A Real-World Assessment. ESC Heart Fail. Published 13 September 2023. doi:10.
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