Key result
Patients not placed on any elements of the NICE-recommended pathway had a significantly higher risk of heart failure admission compared to those on the pathway (HR 1.30; 95% CI 1.18-1.43; P<0.001).
Why the study?
Does following the NICE-recommended diagnostic and management pathway reduce unplanned hospitalisation for HF and death in patients presenting with heart failure symptoms in primary care?
Population
13,897 patients diagnosed with heart failure during 2010-2013 presenting to general practitioners with…
Comparison
Full or partial completion of the… vs Treatment with HF medications only, or no pathway
Design
Cohort
Authors
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May support NICE HF pathway adherence to reduce admissions; leaves open need for randomized confirmation.
Cohort (n=13,897)
Yes
Does following the NICE-recommended diagnostic and management pathway reduce unplanned hospitalisation for HF and death in patients presenting with heart failure symptoms in primary care?
Hazard Ratio: 1.3 (95% CI 1.18–1.43)
p-value: p=<0.001
Adherence to NICE-recommended diagnostic and management pathways for heart failure in primary care is associated with a reduced risk of unplanned heart failure hospitalizations.
Bottle et al. (2018) conducted a cohort in Heart failure (n=13,897). No NICE-recommended pathway vs. NICE-recommended pathway was evaluated on Unplanned hospitalisation for heart failure (HR 1.30, 95% CI 1.18-1.43, p=<0.001). Patients not placed on any elements of the NICE-recommended pathway had a significantly higher risk of heart failure admission compared to those on the pathway (HR 1.30; 95% CI 1.18-1.43; P<0.001).
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