Guideline-Appropriate Care and In-Hospital Outcomes in Patients With Heart Failure in Teaching and Nonteaching Hospitals
Key result
Admission to teaching hospitals compared with nonteaching hospitals was associated with similar rates of defect-free care for heart failure (88% vs 86%; adjusted OR 0.99; 95% CI 0.73-1.34).
Why the study?
Does admission to teaching hospitals compared to nonteaching hospitals improve adherence to guideline-recommended care in patients with heart failure?
Population
304,111 heart failure patients admitted between 2005 and 2014
Comparison
Care at teaching hospitals (TH) vs Care at nonteaching hospitals (NTH)
Design
Cohort
Follow-up
in-hospital
Authors
Discussion
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Member takes
Implication
Similar defect-free care rates; supports comparable guideline adherence across hospital types but leaves open effects on clinical outcomes.
Study Design
Type
Observational (n=304,111)
Multicenter
Yes
Structured PICO
Does admission to teaching hospitals compared to nonteaching hospitals improve adherence to guideline-recommended care in patients with heart failure?
P
Population
304,111 heart failure patients admitted between 2005 and 2014 (197,187 to teaching hospitals and 106,924 to nonteaching hospitals)
I
Intervention
Care at teaching hospitals (TH)
C
Comparator
Care at nonteaching hospitals (NTH)
O
Outcome
Defect-free care (defined as 100% compliance with performance measures)surrogate
Main Result
Effect estimate: adjusted OR 0.99 (95% CI 0.73-1.34)
Absolute Event Rate: 88% vs 86%
Adherence to heart failure performance measures and guideline-recommended therapies improved over time and was comparable between teaching and nonteaching hospitals.
Cite This Study
Patel et al. (2016) conducted an observational in Heart failure (n=304,111). Admission to teaching hospitals vs. Admission to nonteaching hospitals was evaluated on Defect-free care (100% compliance with performance measures) (adjusted OR 0.99, 95% CI 0.73-1.34). Admission to teaching hospitals compared with nonteaching hospitals was associated with similar rates of defect-free care for heart failure (88% vs 86%; adjusted OR 0.99; 95% CI 0.73-1.34).