biostudies-literatureManemann SMNIA NIH HHSNHLBI NIH HHSe018026https://www.ebi.ac.uk/biostudies/studies/S-EPMC7955348biostudies-literatureUnknown10(4)Background Prior reports indicate that living in a rural area may be associated with worse health outcomes. However, data on rurality and heart failure (HF) outcomes are scarce. Methods and Results Residents from 6 southeastern Minnesota counties with a first-ever code for HF (<i>International Classification of Diseases, Ninth Revision</i> [<i>ICD-9</i>], code 428, and <i>International Classification of Diseases, Tenth Revision</i> [<i>ICD-10</i>] code I50) between January 1, 2013 and December 31, 2016, were identified. Resident address was classified according to the rural-urban commuting area codes. Rurality was defined as living in a nonmetropolitan area. Cox regression was used to analyze the association between living in a rural versus urban area and death; Andersen-Gill models were uJournal of the American Heart AssociationRurality, Death, and Healthcare Utilization in Heart Failure in the Community.PMC7955348R33 AG058738R01 HL120859R01 AG034676Manemann SMWeston SARoger VLJiang RFinney Rutten LJSt Sauver JHenning-Smith CFabbri MChamberlain AMfalseRurality, Death, and Healthcare Utilization in Heart Failure in the Community.Background Prior reports indicate that living in a rural area may be associated with worse health outcomes. However, data on rurality and heart failure (HF) outcomes are scarce. Methods and Results Residents from 6 southeastern Minnesota counties with a first-ever code for HF (<i>International Classification of Diseases, Ninth Revision</i> [<i>ICD-9</i>], code 428, and <i>International Classification of Diseases, Tenth Revision</i> [<i>ICD-10</i>] code I50) between January 1, 2013 and December 31, 2016, were identified. Resident address was classified according to the rural-urban commuting area codes. Rurality was defined as living in a nonmetropolitan area. Cox regression was used to analyze the association between living in a rural versus urban area and death; Andersen-Gill models were u2021-01-01T00:00:00Z2021 Feb2025-04-18T16:41:28.429Z2025-04-07T04:05:11.823ZS-EPMC79553483353326010.1161/JAHA.120.018026