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October 17, 2024ESC Heart FailureOpen Access

Continuous delay to consultation was independently associated with higher risk of all-cause mortality (HR: 1.02; 95% CI 1.01-1.02; P < 0.01).

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Why the study?

To investigate the association between elapsed time to cardiology care following a primary care physician referral and 1 year outcomes among patients with HF.

Does a delay in cardiology consultation after primary care physician referral increase mortality in patients with heart failure?

Population

6379 patients with a prior diagnosis of HF referred to cardiology

Comparison

Delay time in cardiology care post-PCP referral

Design

Retrospective electronic medical record cohort study

Follow-up

1 year

Authors

SCSergio Cinza‐SanjurjoACAlberto CorderoPMPilar Mazón‐Ramos

Discussion

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Member takes

Overview

May support expedited HF referral after PCP visit; leaves open whether reducing delay improves survival.

Structured PICO

Does a delay in cardiology consultation after primary care physician referral increase mortality in patients with heart failure?

P
Population
6,379 patients with a prior diagnosis of heart failure referred by a primary care physician to cardiology consultation between 2010 and 2021
I
Intervention
Delayed cardiology consultation after primary care physician referral (analyzed continuously and as >14 days)
C
Comparator
Shorter delay to cardiology consultation (e.g., <2 days)
O
Outcome
1-year all-cause, cardiovascular, and heart failure mortality, and hospitalizationhard clinical

Delayed cardiology consultation following primary care physician referral in heart failure patients is associated with increased 1-year mortality and readmission rates.

Cite This Study

Cinza‐Sanjurjo et al. (2024) studied this question.

synapsesocial.com/papers/6a820ab80f00bf78d4f2195chttps://doi.org/10.1002/ehf2.15101
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