Key result
Heart failure hospitalizations drop ~29% over the study period despite poor early optimal medical therapy initiation.
Why the study?
To evaluate trends in prevalence and incidence of heart failure hospitalizations in Lombardy and characterize patients starting optimal medical treatment after discharge.
What are the trends in heart failure hospitalizations and the determinants of initiating optimal medical therapy post-discharge?
What are the trends in heart failure hospitalizations and the determinants of initiating optimal medical therapy post-discharge?
Heart failure hospitalization incidence has decreased over time, but optimal medical therapy is only initiated in about half of patients post-discharge, highlighting a gap in care especially for older patients and those with prior cardiovascular hospitalizations.
Quality improvement is warranted to increase post-discharge OMT in HF; leaves open best approaches for older patients with prior CV hospitalizations.
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Malfatto et al. (2026) studied this question. Heart failure hospitalization incidence decreased from 790 to 564 per 100,000 person-years between 2005 and 2023, with only 55% of patients starting optimal medical therapy within 90 days.
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