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• W4313444757 abstract "Heart failure (HF) in France is a major healthcare issue. Hospitalization for HF is a major severity marker and requires optimal subsequent management to prevent further hospitalizations. Our aim is to describe the outpatient healthcare utilization after an hospitalization for HF and to identify clinical profiles associated with low rates of healthcare utilization. Data were extracted from the National Health Insurance database. Patients of the France Grand Est region hospitalized for HF (as main or associated diagnosis) for the first time from 2016 to 2020 were included. Patients’ follow-up was 1 to 6 years, depending on the inclusion date. A total of 65 476 patients (mean age 80.3 ± 11.3 years, 53% women) were analyzed. The mean Charlson comorbidity index was 4.8 ± 2.9. 62 156 patients (92.2%) survived their hospital stay and were followed for 827 ± 609 days. During the study period, 34.8% of patients were re-hospitalized for HF, and the risk of death at two-year was 40.3%. The proportion of patients who had at least one appointment with a general practitioner (GP), geriatrician or internist was 71.2% at 1 month and 87.6% at 3 months; at least one appointment with a cardiologist (consult and/or echocardiography) was far lower: 20.8% at 1 month and 43.9% at 3 months. A minority of patients (19.5%) were followed according to the recommended initial clinical post-discharge follow-up of the French “Haute Autorité de Santé” guidelines (GP appointment within 15 days and cardiologist appointment within 2 months). These patients had a 38% lower risk of death compared to patients who did not undergo the recommended follow-up (Adjusted HR: 0.621, IC [0.669–0.713], P < 0.0001). Compared to younger subjects, patients > 85 years were less likely to see a GP and/or a cardiologist and to undergo blood tests (including BNP) evaluations (p.e. 59.4% of patients < 55 had a cardiology appointment within 3 months versus 31.8% of patients ≥ 85). Patient referral to health care professional remains low following HF hospitalization. There is an urgent for the implementation of HF management pathways to ensure adequate post-discharge follow-up." @default.
• W4313444757 created "2023-01-06" @default.
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• W4313444757 date "2023-01-01" @default.
• W4313444757 modified "2023-10-05" @default.
• W4313444757 title "Healthcare consumption, readmission and death rates after heart failure hospitalization: Insights from reimbursement databases of the France Grand Est region" @default.
• W4313444757 doi "https://doi.org/10.1016/j.acvdsp.2022.10.052" @default.
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