GWTG-HF Registry Shows Hospital Performance Associated With Long-Term Survival After Heart Failure Hospitalization
March 12, 2018—The American College of Cardiology (ACC) announced that an analysis of data from the Get With the Guidelines-Heart Failure (GWTG-HF) registry was presented by Ambarish Pandey, MD, in a Featured Clinical Research session at the ACC's 67th annual scientific session held March 10–12 in Orlando, Florida. The study was simultaneously published online by Dr. Pandey et al in Journal of the American Medical Association: Cardiology.
The investigators found that heart failure (HF) patients who are hospitalized in high-performing hospitals may see a long-term survival benefit.
As summarized by the ACC, the investigators evaluated the association between hospital performance, based on 30-day risk-standardized mortality rate (RSMR), and long-term survival in 106,304 HF patients who were older than 65 years and hospitalized in one of 317 GWTG-HF participating centers between January 1, 2005 and December 31, 2013. Medicare-linked data were available for all participants. The study assessed 30-day RMSR and 5-year all-cause mortality.
The results showed that high-performing hospitals had a long-term mortality rate of 75.6% versus 79.6% for low-performing hospitals. Median survival in the high-performing versus low-performing hospitals was 717 days versus 579 days.
In an adjusted analysis, the 5-year mortality rate in the lowest-performing hospitals was 22% higher than in the highest-performing hospitals. In addition, the 30-day RSMR ranged from 8.6% in the highest-performing quartile of hospitals to 10.7% in the lowest-performing quartile.
The investigators concluded that 30-day RSMR may be a useful metric to incentivize quality and improve long-term outcomes, reported the ACC.