Heart failure & cardiomyopathiesCohort study
Risk of Readmission and Death After Hospitalization for Worsening Heart Failure: Role of Post-Discharge Follow-up Visits in a Real-World Study from the Grand Est Region of France
- Retrospective cohort study
- time-dependent survival analysis
Authors' conclusion
Combined FU is carried out in a minority of patients following HF hospitalization, yet it is linked to a substantial reduction in 1-year mortality, albeit at the expense of an increase in HF hospitalizations.
Study context
- Population
- Adults admitted for a first heart failure (HF) hospitalization, 2016–2020, Grand Est region of France62,156 discharged alive
- Participants
- 67,476 adults
- Exposure
- Combined follow-up (FU) vs no combined FU after HF hospitalization
- Outcome
- Death or rehospitalization
- Follow-up
- 1 year
Main finding
As reported in the abstract
Adjusted hazard ratio
0.91
95% CI 0.88–0.94
P < 0.0001
Combined FU vs No combined FU
adjusted HR 0.91 (95% CI 0.88–0.94); P < 0.0001
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value | |
|---|---|---|---|
| Mortality · 1 year | adjusted HR 0.65 (95% CI 0.62–0.68) | P < 0.0001 | |
| HF readmission · higher with combined FU | adjusted HR 1.19 (95% CI 1.15–1.24) | P < 0.0001 | |
| Mortality, by FU component · 1 year — Cardiologist FU vs No combined FU | HR 0.65 (95% CI 0.62–0.67) | P < 0.0001 | |
| Mortality, by FU component · 1 year — GP FU vs No combined FU | HR 0.87 (95% CI 0.85–0.90) | P < 0.0001 | |
| 0.512Ratio (log scale) |
Use of combined FU within 2 months
- Combined FU used
- 21.1%
- Lower rates among >85 years, women and higher comorbidity
- P < 0.0001
Original publication
Risk of Readmission and Death After Hospitalization for Worsening Heart Failure: Role of Post-Discharge Follow-up Visits in a Real-World Study from the Grand Est Region of France. Eur J Heart Fail. Published 18 December 2023. doi:10.1002/ejhf.3103
Summarised from the published abstract; every number is checked against it