Heart failure & cardiomyopathies

The Prognostic Impact of Specialist Cardiology Input in Patients Admitted for Heart Failure and Normal Ejection Fraction

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

In-hospital cardiology specialist input has no long-term prognostic advantage in patients with HFnEF but is independently associated with reduced in-hospital mortality.

Study context

Population
Patients hospitalized with heart failure (HF) and normal ejection fraction (HF and normal ejection fraction (HFnEF))23% without specialist input
Participants
1,413 patients
Exposure
Specialist cardiology input vs no specialist input during HF admission
  • No specialist inputn = 322reference
Outcome
All-cause mortality during follow-up
Methodological detailstwo tertiary centres
  • Two tertiary centres

Main finding

As reported in the abstract

  • Long-term outcomes comparable between patients with and without specialist input

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (CI)P value
In-hospital mortalityIndependently associated0.19 (0.09–0.43)P < 0.001

Length of stay

P < 0.001

Diuretic use

P = 0.04

Original publication

The Prognostic Impact of Specialist Cardiology Input in Patients Admitted for Heart Failure and Normal Ejection Fraction. ESC Heart Fail. Published 25 June 2023. doi:10.1002/ehf2.14440

Composed by AI from the published abstract and checked against it. How Briefs are made →

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