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Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost

dc.contributor.authorBueno Zamora, Héctor José
dc.contributor.authorGoñi, Clara
dc.contributor.authorSalguero Bodes, Rafael
dc.contributor.authorPalacios, Beatriz
dc.contributor.authorVicent, Lourdes
dc.contributor.authorMoreno Muñoz, Guillermo
dc.contributor.authorRosillo, Nicolás
dc.contributor.authorVarela, Luis
dc.contributor.authorCapel, Margarita
dc.contributor.authorDelgado Jiménez, Juan Francisco
dc.contributor.authorArribas Ynsaurriaga, Fernando
dc.contributor.authordel Oro, Manuel
dc.contributor.authorOrtega, Carmen
dc.contributor.authorBernal, Jose Luis
dc.date.accessioned2024-10-08T14:02:22Z
dc.date.available2024-10-08T14:02:22Z
dc.date.issued2022-03-17
dc.descriptionCM20/00104 FPU18/03606
dc.description.abstractBackground: There is scarce information on patients with secondary heart failure diagnosis (sHF). We aimed to compare the characteristics, burden, and outcomes of sHF with those with primary HF diagnosis (pHF). Methods: Retrospective, observational study on patients ≥18 years with emergency department (ED) visits during 2018 with pHF and sHF in ED or hospital (ICD-10-CM) diagnostic codes. Baseline characteristics, 30-day and 1-year mortality, readmission and re-ED visit rates, and costs were compared between sHF and pHF. Results: Out of the 797 patients discharged home from the ED, 45.5% had sHF, and these presented lower 1-year hospitalization, re-ED visit rates, and costs. In contrast, out of the 2,286 hospitalized patients, 55% had sHF and 45% pHF. Hospitalized sHF patients had significantly (p < 0.01) greater comorbidity, lower use of recommended HF therapies, longer length of stay (10.8 ± 10.1 vs. 9.7 ± 7.9 days), and higher in-hospital and 1-year mortality (32 vs. 25.8%) with no significant differences in readmission rates and lower 1-year re-ED visit rate. Hospitalized sHF patients had higher total costs (€12,262,422 vs. €9,144,952, p < 0.001), mean cost per patient-year (€9,755 ± 13,395 vs. €8,887 ± 12,059), and average daily cost per patient. Conclusion: Hospitalized sHF patients have a worse initial prognosis, greater use of healthcare resources, and higher costs.
dc.description.departmentDepto. de Enfermería
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.refereedTRUE
dc.description.sponsorshipAstraZeneca Spain
dc.description.sponsorshipInstituto de Salud Carlos III
dc.description.sponsorshipEspaña. Ministerio de Educación
dc.description.statuspub
dc.identifier.citationBueno H, Goñi C, Salguero-Bodes R, Palacios B, Vicent L, Moreno G, Rosillo N, Varela L, Capel M, Delgado J, Arribas F, del Oro M, Ortega C and Bernal JL (2022) Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost. Front. Cardiovasc. Med. 9:818525. doi: 10.3389/fcvm.2022.818525
dc.identifier.doi10.3389/fcvm.2022.818525
dc.identifier.officialurlhttps://doi.org/10.3389/fcvm.2022.818525
dc.identifier.relatedurlhttps://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.818525/full
dc.identifier.urihttps://hdl.handle.net/20.500.14352/108761
dc.issue.number818525.
dc.journal.titleFrontiers in Cardiovascular Medicine
dc.language.isoeng
dc.page.final9
dc.page.initial1
dc.publisherFrontiers
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.cdu61
dc.subject.cdu616.12
dc.subject.keywordheart failure
dc.subject.keywordsecondary diagnosis
dc.subject.keywordoutcome
dc.subject.keywordmortality
dc.subject.keywordresource utilization
dc.subject.keywordcost
dc.subject.ucmCardiología
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco3202 Epidemiología
dc.subject.unesco32 Ciencias Médicas
dc.titlePrimary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number9
dspace.entity.typePublication
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relation.isAuthorOfPublication04c649c2-1a9d-4da4-ac7a-61bfb8e165a6
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relation.isAuthorOfPublication.latestForDiscovery4157a247-4f43-4ba2-a74b-3abb8baf6b20

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