Survival and health economic outcomes in heart failure diagnosed at hospital admission versus community settings: a propensity-matched analysis.
Patrik BachtigerMihir A KelshikerCamille F PetriManisha GandhiMoulesh ShahTahereh KamalatiSamir Ali KhanGareth HooperJon StephensAbdullah AlrumayhCarys BartonDaniel B KramerCarla M PlymenNicholas S PetersPublished in: BMJ health & care informatics (2023)
Index diagnosis of HF through hospital admission continues to dominate and is associated with a significantly greater short-term risk of mortality and substantially increased long-term costs than if first diagnosed in the community. This study highlights the potential for community diagnosis-early, before symptoms necessitate hospitalisation-to improve both clinical and health economic outcomes.
Keyphrases
- healthcare
- mental health
- heart failure
- public health
- emergency department
- health information
- cardiovascular events
- left ventricular
- human health
- type diabetes
- acute heart failure
- cardiovascular disease
- risk factors
- climate change
- skeletal muscle
- adipose tissue
- risk assessment
- weight loss
- glycemic control
- cardiac resynchronization therapy