Women hospitalized for heart failure had comparable in-hospital mortality to men (adjusted OR 1.05; 95% CI 0.96-1.14), despite being less likely to receive certain quality of care measures.
Observational (n=99,841)
Yes
Effect estimate: adjusted OR 1.05 (95% CI 0.96 to 1.14)
BACKGROUND: Although women account for a significant proportion of heart failure (HF) hospitalizations, data on the quality of care and in-hospital outcomes in women are limited. METHODS AND RESULTS: We examined The Joint Commission performance measures, other quality metrics, length of stay, and in-hospital mortality in women using 99 841 HF admissions (January 2005 to June 2009) at 248 hospitals participating in the American Heart Association Get With The Guidelines-Heart Failure registry. Women accounted for 50% of the HF admissions and were older (mean age, 74±14 versus 69±14 years), more likely to have hypertension (77% versus 72%), and less likely to have coronary disease (44% versus 53%) or renal insufficiency (18% versus 23%) than men (all P4 days (adjusted OR, 1.13; 95% CI, 1.10 to 1.16) and >7 days (adjusted OR, 1.07; 95% CI, 1.04 to 1.11). Women had comparable in-hospital mortality to men (adjusted OR, 1.05; 95% CI, 0.96 to 1.14). CONCLUSIONS: Compared to men, women hospitalized for HF differ in many clinical characteristics and length of stay but have similar clinical presentations, receive similar quality of care for most but not all measures, and experience similar in-hospital mortality.
Klein et al. (Wed,) conducted a observational in Heart failure (n=99,841). Female sex vs. Male sex was evaluated on In-hospital mortality (adjusted OR 1.05, 95% CI 0.96 to 1.14). Women hospitalized for heart failure had comparable in-hospital mortality to men (adjusted OR 1.05; 95% CI 0.96-1.14), despite being less likely to receive certain quality of care measures.