Disparity in the Setting of Incident Heart Failure Diagnosis.

ABSTRACT:

Background

Early heart failure (HF) recognition can reduce morbidity, yet HF is often initially diagnosed only after a patient clinically worsens. We sought to identify characteristics that predict diagnosis in the acute care setting versus the outpatient setting.

Methods

We estimated the proportion of incident HF diagnosed in the acute care setting (inpatient hospital or emergency department) versus outpatient setting based on diagnostic codes from a claims database covering commercial insurance and Medicare Advantage between 2003 and 2019. After excluding new-onset HF potentially caused by a concurrent acute cause (eg, acute myocardial infarction), we identified demographic, clinical, and socioeconomic predictors of diagnosis setting. Patients were linked to their primary

SUBMITTER: Sandhu AT 

PROVIDER: S-EPMC9070116 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature