Key result
Frailty and co-morbidity predict unplanned hospitalizations, with 39% of HF patients admitted within one year.
Why the study?
Frailty has been recognized as important in heart failure, but little has been done to predict the first hospitalization after diagnosis in unselected primary care populations.
Do frailty and co-morbidity predict first unplanned hospitalisation after heart failure diagnosis in primary care?
Population
6,360 adult patients diagnosed with HF in primary care between 2010 and 2013 in England
Comparison
Effects of co-morbidity vs frailty measured by the electronic frailty index
Design
Population-based observational study
Follow-up
Within a year of diagnosis
Authors
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Frailty assessment at new HF diagnosis may stratify unplanned admission risk; hypothesis-generating for intervention trials.
Observational (n=6,360)
Yes
Do frailty and co-morbidity predict first unplanned hospitalisation after heart failure diagnosis in primary care?
Frailty is a significant predictor of all-cause hospital admission in newly diagnosed heart failure patients, independent of co-morbidities.
Bottle et al. (2018) conducted an observational in Heart failure (n=6,360). Frailty (electronic frailty index) and co-morbidity was evaluated on First unplanned hospitalisation for HF or for any condition after diagnosis. Frailty and co-morbidity predicted first unplanned hospitalisation, with 9% of heart failure patients having an emergency HF admission and 39% an all-cause admission within a year of diagnosis.
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