Despite an increase in heart failure hospitalizations and patient complexity in Germany from 2005 to 2016, in-hospital mortality and MACCE rates declined.
HF hospitalizations rose while in-hospital MACCE and fatality declined amid rising age/comorbidity; hypothesis-generating, should not yet change practice.
Hospitalisations for heart failure increased in Germany from 2005 to 2016, whereas the major adverse cardiovascular and cerebrovascular event rate and inhospital case fatality rate decreased during this period despite higher patient age and increasing prevalence of comorbidities.
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Keller et al. (2020) studied this question.