Key result
Care at a rural community hospital compared to a metropolitan heart center was associated with lower use of beta-blockers (11% vs 43%) and a 1-year mortality of 26% vs 19% (P=n.s.).
Why the study?
Does management at a rural community hospital compared to a metropolitan heart center affect treatment practices and 1-year mortality in patients with heart failure?
Cohort (n=266)
Yes
Does management at a rural community hospital compared to a metropolitan heart center affect treatment practices and 1-year mortality in patients with heart failure?
Absolute Event Rate: 26% vs 19%
p-value: p=n.s.
There is a significant gap in the implementation of guideline-directed medical therapy and invasive diagnostics for heart failure in rural community hospitals compared to metropolitan heart centers.
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Observed HF care differences between settings warrant caution generalizing trial data; leaves open need for equity-focused prospective studies.
Taubert et al. (2001) conducted a cohort in Heart failure (n=266). Rural community hospital care vs. Metropolitan heart center care was evaluated on One-year mortality rate (p=n.s.). Care at a rural community hospital compared to a metropolitan heart center was associated with lower use of beta-blockers (11% vs 43%) and a 1-year mortality of 26% vs 19% (P=n.s.).
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