Heart failure & cardiomyopathies
Quality of Care and Clinical Outcomes for Patients With Heart Failure at Hospitals Caring for a High Proportion of Black Adults: Get With The Guidelines-Heart Failure Registry
Authors' conclusion
Quality of care for HF was similar across 11 of 14 measures at hospitals caring for high proportions of Black patients compared with other hospitals, as was overall defect-free HF care. There were no significant within-hospital differences in quality for Black patients vs White patients.
Study context
- Population
- Patients hospitalized for heart failure (HF) at GWTG-HF sites, 2016–2019
- Participants
- 422,483 patients480 hospitals
- Exposure
- Hospitals with high proportions of Black patients vs other hospitals
- High-proportion Black hospitalsn = 96
- Outcome
- Quality of HF care (14 evidence-based measures), overall defect-free HF care, and 30-day readmissions and mortality in Medicare patients
Methodological detailsregistry-based (GWTG-HF)
- Registry-based (GWTG-HF)
Main finding
As reported in the abstract
Overall defect-free HF care; 30-day outcomes (Medicare)
High-proportion Black hospitals vs Other hospitalsEstimate (95% CI)
Overall defect-free HF care
OR 0.89(0.67–1.19)
30-day readmissions, risk-adjusted
HR 1.14(1.02–1.26)
30-day mortality
HR 0.92(0.84–1.02)
Observational data: associations, not effects.
Further findings
| Outcome | High-proportion Black hospitals | Other hospitals | Estimate | |
|---|---|---|---|---|
| ACEi/ARB/ARNI for LV systolic dysfunction | 92.7% | 92.4% | adjusted OR 0.91 (95% CI 0.65–1.27) | |
| Evidence-based β-blockers | 94.7% | 93.7% | OR 1.02 (95% CI 0.82–1.28) | |
| ARNI at discharge | 14.3% | 16.8% | OR 0.74 (95% CI 0.54–1.02) | |
| Anticoagulation for AF/flutter | 88.8% | 87.5% | OR 1.05 (95% CI 0.76–1.45) | |
| ICD counseling/placement/prescription at discharge | 70.9% | 71.0% | OR 0.75 (95% CI 0.50–1.13) | |
| Follow-up visit within ≤7 days at discharge | 70.4% | 80.1% | OR 0.68 (95% CI 0.53–0.86) | |
| CRT device placement/prescription | 50.6% | 53.8% | OR 0.63 (95% CI 0.42–0.95) | |
| Aldosterone antagonist | 50.4% | 53.5% | OR 0.69 (95% CI 0.50–0.97) | |
| 0.512Ratio (log scale) |
Within-hospital quality, Black vs White patients
- No significant within-hospital differences
Original publication
Quality of Care and Clinical Outcomes for Patients With Heart Failure at Hospitals Caring for a High Proportion of Black Adults: Get With The Guidelines-Heart Failure Registry. JAMA Cardiol. Published 1 June 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →