2026-06-27T10:49:09Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1087612025-03-18T14:17:50Zcom_20.500.14352_14col_20.500.14352_15

Bueno Zamora, Héctor José Goñi, Clara Salguero Bodes, Rafael Palacios, Beatriz Vicent, Lourdes Moreno Muñoz, Guillermo Rosillo, Nicolás Varela, Luis Capel, Margarita Delgado Jiménez, Juan Francisco Arribas Ynsaurriaga, Fernando del Oro, Manuel Ortega, Carmen Bernal, Jose Luis 2024-10-08T14:02:22Z 2024-10-08T14:02:22Z 2022-03-17 Bueno 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 10.3389/fcvm.2022.818525 https://hdl.handle.net/20.500.14352/108761 https://doi.org/10.3389/fcvm.2022.818525 https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.818525/full Background: 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. eng http://creativecommons.org/licenses/by/4.0/ open access Attribution 4.0 International Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost journal article