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November 1, 2022Circulation Heart FailureOpen Access

Black, Hispanic, and Indigenous American/Pacific Islander patients hospitalized for heart failure had significantly longer adjusted lengths of stay compared with non-Hispanic White patients.

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Why the study?

Reducing hospital length of stay is important for minimizing heart failure burden, but the impact of social and structural determinants of health on length of stay has received little attention.

Does race/ethnicity impact hospital length of stay in patients hospitalized for heart failure?

Population

Three thousand three seven hundred thirty patients hospitalized for heart failure

Comparison

Disparities across race/ethnicity

Design

Registry-based observational study

Key result

Black, Hispanic, and Indigenous American/Pacific Islander patients hospitalized for heart failure had significantly longer adjusted lengths of stay compared with non-Hispanic White patients.

Authors

JZJimmy ZhengRTRebecca L. TisdalePHPaul A. Heidenreich

Discussion

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Overview

Hospital factors may drive racial/ethnic HF LOS disparities; hypothesis-generating for system-level interventions.

Study Design

Type

Observational (n=303,730)

Multicenter

Yes

Structured PICO

Does race/ethnicity impact hospital length of stay in patients hospitalized for heart failure?

P
Population
303,730 patients hospitalized for heart failure from 2017 to 2020 in the Get With The Guidelines-Heart Failure registry.
E
Exposure
Black, Hispanic, and Indigenous American/Pacific Islander race/ethnicity
C
Comparator
Non-Hispanic White race/ethnicity
O
Outcome
Hospital length of stay (LOS)

Main Result

Absolute Event Rate: 5.72% vs 5.32%

Racial and ethnic disparities in hospital length of stay for heart failure are primarily driven by hospital-level differences rather than individual patient factors.

Cite This Study

Zheng et al. (2022) conducted an observational in Heart failure (n=303,730). Minority race/ethnicity (Black, Hispanic, Indigenous American/Pacific Islander) vs. Non-Hispanic White race/ethnicity was evaluated on Adjusted hospital length of stay (LOS). Black, Hispanic, and Indigenous American/Pacific Islander patients hospitalized for heart failure had significantly longer adjusted lengths of stay compared with non-Hispanic White patients.

synapsesocial.com/papers/6a202e76eaa49a33b5fc0650https://doi.org/10.1161/circheartfailure.121.009362
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Racial and Ethnic Disparities in the Outcomes and Treatment of Patients Admitted with Heart Failure: A Nationwide Analysis2024 · 7 citations
  2. 2Racial and Ethnic Disparities in Referral to Outpatient Heart Failure Management at Hospital Discharge: A Get With The Guidelines Analysis2025 · 2 citations
  3. 3Short‐ and Long‐term Rehospitalization and Mortality for Heart Failure in 4 Racial/Ethnic Populations2014 · 86 citations
  4. 4Disparities in Hospital Length of Stay and Morbidity in Acute Care Pediatric Cardiology Patients2026
  5. 5Equity in Heart Failure Care: A Get With the Guidelines Analysis of Between- and Within-Hospital Differences in Care by Sex, Race, Ethnicity, and Insurance2024 · 8 citations