Association between heart failure quality of care and mortality: a population‐based cohort study using nationwide registries

Aims To evaluate the quality of heart failure (HF) care using the European Society of Cardiology (ESC) quality indicators (QIs) for HF and to assess whether better quality of care is associated with improved outcomes. Methods and results We performed a nationwide cohort study using the Swedish HF re...

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Bibliographic Details
Published in:European journal of heart failure 2022-11, Vol.24 (11), p.2066-2077
Main Authors: Batra, Gorav, Aktaa, Suleman, Benson, Lina, Dahlström, Ulf, Hage, Camilla, Savarese, Gianluigi, Vasko, Peter, Gale, Chris P., Lund, Lars H.
Format: Article
Language:English
Subjects:
Cardiovascular outcomes
Cohort Studies
Epidemiology
Heart failure
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Implementation
Medicin och hälsovetenskap
Mortality
Quality indicators
Quality of care
Quality of Life
Sweden - epidemiology
Treatment
Utilization
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Summary:Aims To evaluate the quality of heart failure (HF) care using the European Society of Cardiology (ESC) quality indicators (QIs) for HF and to assess whether better quality of care is associated with improved outcomes. Methods and results We performed a nationwide cohort study using the Swedish HF registry, consisting of patients with any type of HF at their first outpatient visit or hospitalization. Independent participant data for quality of HF care was evaluated against the ESC QIs for HF, and association with mortality estimated using multivariable Cox regression. In total, 43 704 patients from 80 hospitals across Sweden enrolled between 2013–2019 were included, with median follow‐up 23.6 months. Of the 16 QIs for HF, 13 could be measured and 5 were inversely associated with all‐cause mortality during follow‐up. Higher attainment (≥50% vs.
ISSN:1388-9842
1879-0844
1879-0844
DOI:10.1002/ejhf.2725