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Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost
BACKGROUND: There is scarce information on patients with secondary heart failure diagnosis (sHF). We aimed to compare the characteristics, burden, and outcomes of sHF with those with primary HF diagnosis (pHF). METHODS: Retrospective, observational study on patients ≥18 years with emergency departme...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967997/ https://www.ncbi.nlm.nih.gov/pubmed/35369321 http://dx.doi.org/10.3389/fcvm.2022.818525 |
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author | Bueno, Héctor Goñi, Clara Salguero-Bodes, Rafael Palacios, Beatriz Vicent, Lourdes Moreno, Guillermo Rosillo, Nicolás Varela, Luis Capel, Margarita Delgado, Juan Arribas, Fernando del Oro, Manuel Ortega, Carmen Bernal, Jose L. |
author_facet | Bueno, Héctor Goñi, Clara Salguero-Bodes, Rafael Palacios, Beatriz Vicent, Lourdes Moreno, Guillermo Rosillo, Nicolás Varela, Luis Capel, Margarita Delgado, Juan Arribas, Fernando del Oro, Manuel Ortega, Carmen Bernal, Jose L. |
author_sort | Bueno, Héctor |
collection | PubMed |
description | BACKGROUND: There is scarce information on patients with secondary heart failure diagnosis (sHF). We aimed to compare the characteristics, burden, and outcomes of sHF with those with primary HF diagnosis (pHF). METHODS: Retrospective, observational study on patients ≥18 years with emergency department (ED) visits during 2018 with pHF and sHF in ED or hospital (ICD-10-CM) diagnostic codes. Baseline characteristics, 30-day and 1-year mortality, readmission and re-ED visit rates, and costs were compared between sHF and pHF. RESULTS: Out of the 797 patients discharged home from the ED, 45.5% had sHF, and these presented lower 1-year hospitalization, re-ED visit rates, and costs. In contrast, out of the 2,286 hospitalized patients, 55% had sHF and 45% pHF. Hospitalized sHF patients had significantly (p < 0.01) greater comorbidity, lower use of recommended HF therapies, longer length of stay (10.8 ± 10.1 vs. 9.7 ± 7.9 days), and higher in-hospital and 1-year mortality (32 vs. 25.8%) with no significant differences in readmission rates and lower 1-year re-ED visit rate. Hospitalized sHF patients had higher total costs (€12,262,422 vs. €9,144,952, p < 0.001), mean cost per patient-year (€9,755 ± 13,395 vs. €8,887 ± 12,059), and average daily cost per patient. CONCLUSION: Hospitalized sHF patients have a worse initial prognosis, greater use of healthcare resources, and higher costs. |
format | Online Article Text |
id | pubmed-8967997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-89679972022-04-01 Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost Bueno, Héctor Goñi, Clara Salguero-Bodes, Rafael Palacios, Beatriz Vicent, Lourdes Moreno, Guillermo Rosillo, Nicolás Varela, Luis Capel, Margarita Delgado, Juan Arribas, Fernando del Oro, Manuel Ortega, Carmen Bernal, Jose L. Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: There is scarce information on patients with secondary heart failure diagnosis (sHF). We aimed to compare the characteristics, burden, and outcomes of sHF with those with primary HF diagnosis (pHF). METHODS: Retrospective, observational study on patients ≥18 years with emergency department (ED) visits during 2018 with pHF and sHF in ED or hospital (ICD-10-CM) diagnostic codes. Baseline characteristics, 30-day and 1-year mortality, readmission and re-ED visit rates, and costs were compared between sHF and pHF. RESULTS: Out of the 797 patients discharged home from the ED, 45.5% had sHF, and these presented lower 1-year hospitalization, re-ED visit rates, and costs. In contrast, out of the 2,286 hospitalized patients, 55% had sHF and 45% pHF. Hospitalized sHF patients had significantly (p < 0.01) greater comorbidity, lower use of recommended HF therapies, longer length of stay (10.8 ± 10.1 vs. 9.7 ± 7.9 days), and higher in-hospital and 1-year mortality (32 vs. 25.8%) with no significant differences in readmission rates and lower 1-year re-ED visit rate. Hospitalized sHF patients had higher total costs (€12,262,422 vs. €9,144,952, p < 0.001), mean cost per patient-year (€9,755 ± 13,395 vs. €8,887 ± 12,059), and average daily cost per patient. CONCLUSION: Hospitalized sHF patients have a worse initial prognosis, greater use of healthcare resources, and higher costs. Frontiers Media S.A. 2022-03-17 /pmc/articles/PMC8967997/ /pubmed/35369321 http://dx.doi.org/10.3389/fcvm.2022.818525 Text en Copyright © 2022 Bueno, Goñi, Salguero-Bodes, Palacios, Vicent, Moreno, Rosillo, Varela, Capel, Delgado, Arribas, del Oro, Ortega and Bernal. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Bueno, Héctor Goñi, Clara Salguero-Bodes, Rafael Palacios, Beatriz Vicent, Lourdes Moreno, Guillermo Rosillo, Nicolás Varela, Luis Capel, Margarita Delgado, Juan Arribas, Fernando del Oro, Manuel Ortega, Carmen Bernal, Jose L. Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title | Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title_full | Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title_fullStr | Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title_full_unstemmed | Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title_short | Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost |
title_sort | primary vs. secondary heart failure diagnosis: differences in clinical outcomes, healthcare resource utilization and cost |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967997/ https://www.ncbi.nlm.nih.gov/pubmed/35369321 http://dx.doi.org/10.3389/fcvm.2022.818525 |
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