Healthcare utilization and guideline-directed medical therapy in heart failure patients with reduced ejection fraction.
J Comp Eff Res
; 10(14): 1055-1063, 2021 10.
Article
en En
| MEDLINE
| ID: mdl-34225473
ABSTRACT
Aim:
This study examines the effect of guideline-directed medical therapy (GDMT) on healthcare utilization in patients with heart failure with reduced ejection fraction from Optum® Integrated File from 1 January 2007 to 30 June 2020. Materials &methods:
Patients with both a beta blocker and either an ACE inhibitor (ACE-I), angiotensin receptor blocker (ARB) or angiotensin receptor neprilysin inhibitor were assigned to the GDMT cohort. All others were not on GDMT.Results:
Estimated annual all cause hospitalizations and emergency department visits per 100 patients was 29% (80 vs 62 patients) and 26% higher (54 vs 43 patients; p < 0.0001) and annualized hospital days were longer (1.88 vs 1.64; p = 0.0020) for patients not on GDMT.Conclusion:
In a real-world population, heart failure with reduced ejection fraction, patients not optimally managed on GDMT had higher annualized healthcare utilization when compared with patients on GDMT.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Antagonistas de Receptores de Angiotensina
/
Insuficiencia Cardíaca
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
J Comp Eff Res
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos