Key result
In elderly patients with acute heart failure, in-hospital mortality was significantly higher in Geriatrics (18.6%) and Cardiology (16.4%) compared to Internal Medicine (5.8%).
Why the study?
Acute heart failure patients are older than those enrolled in clinical registries and frequently admitted to non-cardiological settings, but their characteristics across care settings were not well described.
Does the setting of admission (Cardiology, Internal Medicine, or Geriatrics) affect the clinical characteristics, management, and outcomes of elderly patients hospitalized for acute heart failure?
Observational (n=396)
No
Does the setting of admission (Cardiology, Internal Medicine, or Geriatrics) affect the clinical characteristics, management, and outcomes of elderly patients hospitalized for acute heart failure?
p-value: p=0.001
Elderly patients hospitalized for acute heart failure are frequently admitted to non-cardiological wards, where they exhibit different clinical profiles and receive suboptimal guideline-directed medical therapy.
Ward assignment should not yet guide decisions; leaves open whether mortality differences reflect selection or care variations in elderly acute HF.
BACKGROUND: Administrative data show that acute heart failure (HF) patients are older than those enrolled in clinical registries and frequently admitted to non-cardiological settings of care. The purpose of this study was to describe clinical characteristics of old patients hospitalised for acute HF in Cardiology, Internal Medicine or Geriatrics wards. METHODS: Data came from ATHENA (AcuTe Heart failurE in advaNced Age) registry which included elderly patients (≥ 65 years) admitted to the above mentioned settings of care from December 1, 2014 to December 1, 2015. CONCLUSIONS: In elderly patients hospitalised for acute HF, clinical characteristics and management differ significantly according to the setting of admission.
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Orso et al. (2021) conducted an observational in Acute heart failure (n=396). Admission to different hospital wards (Cardiology, Internal Medicine, Geriatrics) vs. Comparison among settings was evaluated on In-hospital mortality (p=0.001). In elderly patients with acute heart failure, in-hospital mortality was significantly higher in Geriatrics (18.6%) and Cardiology (16.4%) compared to Internal Medicine (5.8%).
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