Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019
Abstract Aims We aim to report trends in unplanned hospitalizations among newly diagnosed heart failure patients with regard to hospitalizations types and their impact on outcomes. Methods and results A nation‐wide study of all citizens in Poland with newly diagnosed heart failure based on ICD‐10 co...
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.13900 |
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| author | Przemysław Leszek Daniel Waś Kinga Bartolik Kladiusz Witczak Andrzej Kleinork Bohdan Maruszewski Katarzyna Brukało Paulina Rolska‐Wójcik Małgorzata Celińska‐Spodar Tomasz Hryniewiecki Marta Załęska‐Kocięcka |
| author_facet | Przemysław Leszek Daniel Waś Kinga Bartolik Kladiusz Witczak Andrzej Kleinork Bohdan Maruszewski Katarzyna Brukało Paulina Rolska‐Wójcik Małgorzata Celińska‐Spodar Tomasz Hryniewiecki Marta Załęska‐Kocięcka |
| author_sort | Przemysław Leszek |
| collection | DOAJ |
| description | Abstract Aims We aim to report trends in unplanned hospitalizations among newly diagnosed heart failure patients with regard to hospitalizations types and their impact on outcomes. Methods and results A nation‐wide study of all citizens in Poland with newly diagnosed heart failure based on ICD‐10 coding who were beneficiaries of either public primary, secondary, or hospital care between 2013 and 2018 in Poland. Between 1 January 2013 and 31 December 2019, there were 1 124 118 newly diagnosed heart failure patients in Poland in both out‐ and inpatient settings. The median observation time was 946 days. As many as 49% experienced at least one acute heart failure hospitalization. Once hospitalized, 44.6% patients experienced at least one all‐cause rehospitalization and 26% another heart failure rehospitalization. The latter had the highest Charlson co‐morbidity index (1.36). The 30 day heart failure readmission rate was 2.96%. Kaplan–Meier analysis revealed very early readmissions (up to 1–7 days) were associated with better survival compared with rehospitalization between 8 and 30 days. All‐cause mortality was related to the number of hospitalization with adjusted estimated hazard ratios: 1.550 (95% CI: 1.52–158) for the second HF hospitalization, 2.158 (95% CI: 2.098–2.219) for third, and 2.788 (95% CI: 2.67–2.91) for the fourth HF hospitalization and subsequent ones, as compared with the first hospitalization. Conclusions Among newly diagnosed heart failure patients in Poland between 2013 and 2019, nearly half required at least one unplanned heart failure hospitalization. The risk of death was growing with every other hospital reoccurrence due to heart failure. |
| format | Article |
| id | doaj-art-3e6aa0e7ddb14dafa8f7f204e3ae32cd |
| institution | Kabale University |
| issn | 2055-5822 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-3e6aa0e7ddb14dafa8f7f204e3ae32cd2025-02-05T05:22:09ZengWileyESC Heart Failure2055-58222022-06-01931553156310.1002/ehf2.13900Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019Przemysław Leszek0Daniel Waś1Kinga Bartolik2Kladiusz Witczak3Andrzej Kleinork4Bohdan Maruszewski5Katarzyna Brukało6Paulina Rolska‐Wójcik7Małgorzata Celińska‐Spodar8Tomasz Hryniewiecki9Marta Załęska‐Kocięcka10Department of Heart Failure and Transplantology National Institute of Cardiology Warsaw PolandDepartment of Analysis and Strategy Ministry of Health Warsaw PolandDepartment of Analysis and Strategy Ministry of Health Warsaw PolandDepartment of Analysis and Strategy Ministry of Health Warsaw PolandCardiac Unit Pope John Paul II Regional Hospital; Academy of Zamość Zamość PolandPediatric Cardiothoracic Surgery Unit The Children's Memorial Health Institute Warsaw PolandDepartment of Health Policy School of Health Sciences in Bytom Medical University of Silesia Katowice PolandIQVIA Warsaw PolandDepartment of Anesthesiology and Intensive Care National Institute of Cardiology Warsaw PolandDepartment of Valvular Heart Disease National Institute of Cardiology Warsaw PolandDepartment of Anesthesiology and Intensive Care National Institute of Cardiology Warsaw PolandAbstract Aims We aim to report trends in unplanned hospitalizations among newly diagnosed heart failure patients with regard to hospitalizations types and their impact on outcomes. Methods and results A nation‐wide study of all citizens in Poland with newly diagnosed heart failure based on ICD‐10 coding who were beneficiaries of either public primary, secondary, or hospital care between 2013 and 2018 in Poland. Between 1 January 2013 and 31 December 2019, there were 1 124 118 newly diagnosed heart failure patients in Poland in both out‐ and inpatient settings. The median observation time was 946 days. As many as 49% experienced at least one acute heart failure hospitalization. Once hospitalized, 44.6% patients experienced at least one all‐cause rehospitalization and 26% another heart failure rehospitalization. The latter had the highest Charlson co‐morbidity index (1.36). The 30 day heart failure readmission rate was 2.96%. Kaplan–Meier analysis revealed very early readmissions (up to 1–7 days) were associated with better survival compared with rehospitalization between 8 and 30 days. All‐cause mortality was related to the number of hospitalization with adjusted estimated hazard ratios: 1.550 (95% CI: 1.52–158) for the second HF hospitalization, 2.158 (95% CI: 2.098–2.219) for third, and 2.788 (95% CI: 2.67–2.91) for the fourth HF hospitalization and subsequent ones, as compared with the first hospitalization. Conclusions Among newly diagnosed heart failure patients in Poland between 2013 and 2019, nearly half required at least one unplanned heart failure hospitalization. The risk of death was growing with every other hospital reoccurrence due to heart failure.https://doi.org/10.1002/ehf2.13900Incident heart failureHospitalizationsRehospitalizationsCo‐morbidities |
| spellingShingle | Przemysław Leszek Daniel Waś Kinga Bartolik Kladiusz Witczak Andrzej Kleinork Bohdan Maruszewski Katarzyna Brukało Paulina Rolska‐Wójcik Małgorzata Celińska‐Spodar Tomasz Hryniewiecki Marta Załęska‐Kocięcka Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 ESC Heart Failure Incident heart failure Hospitalizations Rehospitalizations Co‐morbidities |
| title | Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 |
| title_full | Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 |
| title_fullStr | Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 |
| title_full_unstemmed | Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 |
| title_short | Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019 |
| title_sort | burden of hospitalizations in newly diagnosed heart failure patients in poland real world population based study in years 2013 2019 |
| topic | Incident heart failure Hospitalizations Rehospitalizations Co‐morbidities |
| url | https://doi.org/10.1002/ehf2.13900 |
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