ArticleScandinavian journal of primary health care2024
Heart failure patients without echocardiography are more commonly diagnosed in hospital care and are associated with higher mortality compared to primary care.
Article in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Healthcare utilization patterns prior to a first heart failure diagnosis in a 90 day mortality cohort: A retrospective cohort study.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Association Between the Emergency Heart Failure Mortality Risk Grade (EHMRG30-ST) and Costs of Care.CJC open · 2026Article
- Raising the Bar: Age-adjust NT-proBNP to improve specificity and reduce delay.ESC heart failure · 2025Article
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4 authors.
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Abstract
objectiveThis Swedish study aimed to assess the prevalence, associated clinical factors, and mortality rates of heart failure patients diagnosed without echocardiograms in both hospital and primary care settings.
designWe conducted a retrospective population-based study using data from the Region Halland healthcare database in Sweden covering 330,000 residents. SUBJECTS: From 2013-2019, 3,903 patients received an incidental heart failure diagnosis without an echocardiogram and they were followed for one year.
main outcome measuresUsing logistic and Cox regression analyses, we evaluated the prevalence, clinical characteristics, and all-cause mortality at intervals of 30, 100, and 365 days post-diagnosis.
resultsIn this Swedish cohort, the one-year all-cause mortality rate was markedly higher for patients diagnosed in hospitals (42%) compared to those in primary care (20%,
conclusionIn a Swedish region, heart failure diagnoses without echocardiograms were more common in hospitals, and these patients initially faced worse prognoses. After the first month, however, the prognosis of hospital-diagnosed patients mirrored that of those diagnosed in primary care. These findings emphasize the need for improved diagnostic and treatment approaches in both care settings to enhance outcomes.
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