Heart failure & cardiomyopathiesCohort study

Racial and Ethnic Differences in Patient Age at First Hospitalization for Heart Failure

J Am Coll CardiolPublished

  • Retrospective cohort study
  • registry-based
  • Oaxaca-Blinder decomposition

Authors' conclusion

NH Asian, NH Black, and Hispanic patients were younger at the time of first HF hospitalization compared with NH White patients in the GWTG-HF registry. Differences in social and clinical factors explained a large proportion of the racial and ethnic differences in age at first HF hospitalization.

Study context

Population
Patients with first heart failure (HF) hospitalization and no prior HF diagnosis, Get With The Guidelines-Heart Failure (GWTG-HF) registry, 2016–2019
Participants
42,252 patients
Exposure
Non-Hispanic (NH) Asian, NH Black and Hispanic vs NH White adults
Outcome
Age at first HF hospitalization

Main finding

As reported in the abstract

NH Asian, NH Black and Hispanic significantly younger than NH White
P < 0.01

Observational data: associations, not effects.

Further findings

Younger age at first HF hospitalization associated with differences in social and clinical risk factors (decomposition), vs NH White

years

NH Asian
1.2
NH Black
12.5
Hispanic
7.4

Original publication

Racial and Ethnic Differences in Patient Age at First Hospitalization for Heart Failure. J Am Coll Cardiol. Published 9 September 2025. doi:10.1016/j.jacc.2025.06.046

Summarised from the published abstract; every number is checked against it