Heart failure & cardiomyopathies

Symptoms and signs in patients with heart failure: association with 3-month hospitalisation and mortality

HeartPublished Nested case-control study

Authors' conclusion

In the primary care HF population, routinely recorded cardiac and non-specific symptoms showed differential risk associations with hospitalisation and mortality.

Study context

Population
Patients with a new heart failure (HF) diagnosis in primary care, Clinical Practice Research Datalink, 1998–2020database cohort
Participants
86,882 patients
Comparison
Symptoms and signs in 3-month history: cases vs matched controls
Outcome
All-cause, HF and non-CVD hospitalisation and mortality
Follow-up
3 months
Methodological detailsdensity-based sampling, Controls could be included more than once and later become a case
  • Density-based sampling
  • Controls could be included more than once and later become a case

Main finding

As reported in the abstract

HF hospitalisation: adjusted associations of symptoms and signs (cases vs matched controls) · 3-month history
Pulmonary oedema, adjusted OR
3.08; 2.52, 3.64 (95% CI)
Shortness of breath, adjusted OR
2.94; 2.77, 3.11 (95% CI)
Peripheral oedema, adjusted OR
2.16; 2.00, 2.32 (95% CI)
Depression, adjusted OR
1.50; 1.18, 1.82 (95% CI)
Anxiety, adjusted OR
1.35; 1.06, 1.64 (95% CI)
Pain, adjusted OR
1.19; 1.10, 1.28 (95% CI)

Observational data: associations, not effects.

Further findings

Non-CVD hospitalisation: associations of symptoms (cases vs matched controls) · 3-month history

Chest pain, OR
2.93; 2.77, 3.09 (95% CI)
Fatigue, OR
1.87; 1.73, 2.01 (95% CI)
General pain, OR
1.87; 1.81, 1.93 (95% CI)
Depression, OR
1.59; 1.44, 1.74 (95% CI)

Original publication

Symptoms and signs in patients with heart failure: association with 3-month hospitalisation and mortality. Heart. Published 1 December 2023. doi:10.1136/heartjnl-2023-323295

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