Evidence mapPaperPMID 41566421Full record

ArticleBMC cardiovascular disorders2026

Impact of ethnicity on long-term mortality following hospitalization for acute decompensated heart failure: a retrospective cohort study.

Gil Marcus, Mohameed Daoud, Shiri L Maymon, Ido Minha, Eran Kalmanovich, Gil Moravsky, Avishay Grupper, Shmuel Fuchs, Sa'ar Minha

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Gil MarcusDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel. gilmarcus.gm@gmail.com.
Mohameed DaoudDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.
Shiri L MaymonOtolaryngology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Ido MinhaThe Rachel and Selim Benin School of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem, Israel.
Eran KalmanovichDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.
Gil MoravskyDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.
Avishay GrupperDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.
Shmuel FuchsDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.
Sa'ar MinhaDepartment of Cardiology, Shamir Medical Center, Be'er-Yaakov, 70300, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthnic disparities in heart failure (HF) outcomes have been widely documented, but data from countries with universal healthcare systems, such as Israel, are limited. This study assessed whether long-term clinical outcomes differ between Jewish and non-Jewish patients hospitalized for acute decompensated heart failure (ADHF).

methodsWe conducted a retrospective cohort study of adults hospitalized with ADHF at a tertiary medical center in Israel between 2007 and 2017. Patients were categorized by self-reported ethnicity. Baseline characteristics, in-hospital treatments, discharge medications, and clinical outcomes were compared. The primary outcome was 5-year all-cause mortality. Secondary outcomes included in-hospital mortality, 30-day readmission, 30-day mortality, 1-year mortality, and treatment patterns.

resultsOf 7,199 patients, 90.3% were Jewish and 9.7% non-Jewish. Non-Jewish patients were younger (median age 74 vs. 80 years, p < 0.001) and had higher rates of smoking and obesity. Most comorbidities, procedures, and discharge therapies were comparable. Unadjusted short-term outcomes were similar between groups. Although unadjusted 5-year survival appeared higher in non-Jews (p = 0.002), multivariable Cox regression showed that non-Jewish ethnicity was independently associated with increased 5-year mortality (HR 1.13, 95% CI 1.02-1.25, p = 0.021).

conclusionsIn this large cohort of patients hospitalized with ADHF in Israel, non-Jewish ethnicity was independently associated with worse long-term survival despite younger age and similar in-hospital care. These findings underscore the need for targeted follow-up strategies to mitigate ethnic disparities in chronic HF outcomes.

Indexed as

ArabsHealth Status DisparitiesHeart FailureHospitalizationJewsAcute DiseaseAgedAged, 80 and overFemaleHospital MortalityHumansIsraelMaleMiddle AgedPatient ReadmissionRetrospective StudiesEthnic disparitiesHeart failureLong-term mortalityRetrospective cohort study

Identifiers

PMID41566421
PMCPMC12853961

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