Key result
Admission under cardiologists for heart failure was associated with better pharmacological treatment and improved survival compared to other wards, persisting after correction for confounders.
Population
Over 27,000 patients hospitalized with a primary diagnosis of heart failure in England and Wales
Design
Review
Follow-up
In-hospital
Authors
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May support cardiology ward admission for HF; leaves open whether randomized trials confirm survival benefit.
Observational (n=27,000)
Yes
National audit data from England and Wales highlight ongoing disparities in heart failure care, with older patients and women receiving less guideline-directed medical therapy, while admission to cardiology wards improves treatment and survival.
Andrew L. Clark (2011) conducted an observational in Heart failure (n=27,000). Admission under cardiologists vs. Admission under non-cardiologists was evaluated on In-hospital mortality. Admission under cardiologists for heart failure was associated with better pharmacological treatment and improved survival compared to other wards, persisting after correction for confounders.
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