SGLT2i use among adults with type 2 diabetes hospitalized with heart failure increased 13-fold, reaching 13.2% by mid-2021, though overall uptake remains low.
Observational (n=18,932)
Yes
What are the trends and factors associated with SGLT2 inhibitor use among adults with type 2 diabetes following hospitalization with heart failure?
Despite a 13-fold increase in SGLT2 inhibitor use among patients with type 2 diabetes hospitalized for heart failure, overall uptake remains low at 13.2% by mid-2021, highlighting a gap in guideline-directed medical therapy.
AIMS: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are a pillar of therapy among people with both type 2 diabetes (T2D) and heart failure (HF). Despite being a population at high-risk of cardio-renal events, little is known on SGLT2i uptake following hospitalisation, a key opportunity for prescribing. METHODS: Using linked administrative data, we identified adults with T2D hospitalised with HF from January 2014 to June 2021, New South Wales, Australia. We measured quarterly trends in prevalence of SGLT2i use, and factors associated with use in 2020-2021. RESULTS: We identified 18,932 people with T2D hospitalised with HF. We found a 13-fold increase in SGLT2i use, reaching 13.2 % by mid-2021. SGLT2i use was higher in males (adjusted odds ratio aOR = 1.49, 95 % confidence interval CI: 1.24-1.79) and people with a primary diagnosis of HF (aOR = 1.21, 95 % CI: 1.01-1.45), lower in older age groups (≥85 vs 18-64 years: aOR = 0.18, 95 % CI: 0.12-0.26), among people with increasing clinical complexity (e.g. higher Charlson Score; frailty) and chronic kidney disease (aOR = 0.60, 95 % CI: 0.48-0.75). CONCLUSIONS: While SGLT2i use has increased among people with T2D hospitalised with HF, uptake remains low. Optimising medication use at transitions from hospital to community care may ensure clinical benefits of these medicines are realised.
Lin et al. (Fri,) conducted a observational in Type 2 diabetes and heart failure (n=18,932). Sodium-glucose cotransporter 2 inhibitors (SGLT2i) was evaluated on Prevalence of SGLT2i use by mid-2021. SGLT2i use among adults with type 2 diabetes hospitalized with heart failure increased 13-fold, reaching 13.2% by mid-2021, though overall uptake remains low.