Observational studyBMJ open2017
Effect of cardiologist care on 6-month outcomes in patients discharged with heart failure: results from an observational study based on administrative data.
Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed.
- Extent and predictors of guideline-directed medical therapy optimization during cardiac rehabilitation in patients with heart failure.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- General practice organisational models and heart failure medication adherence: multi-level evidence from a regional cohort in Emilia-Romagna, Italy.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- A STRONG call for intensive oral heart failure therapy in acute heart failure patients.Heart failure reviews · 2025Review
- Sacubitril/valsartan in a wide spectrum of heart failure patients (from mechanisms of action to outcomes in specific populations).Heart failure reviews · 2025Review
- Cost-effectiveness of outpatient adherence to recommendations for monitoring of patients hospitalized for heart failure.ESC heart failure · 2024Article
- Pharmacoutilization and adherence to sacubitril/valsartan in real world: the REAL.IT study in HFrEF.ESC heart failure · 2024Observational
- Reducing the hospitalization epidemic of chronic heart failure by disease management programs.Internal and emergency medicine · 2024Article
- Association between patient volume to cardiologist, process of care, and clinical outcomes in heart failure.ESC heart failure · 2023Article
- The Effect of Home Care Support Clinics on Hospital Readmission in Heart Failure Patients in Japan.Journal of general internal medicine · 2023Article
- Integrated care for older multimorbid heart failure patients: protocol for the ESCAPE randomized trial and cohort study.ESC heart failure · 2023Article
- Treatment outcomes and associated factors among chronic ambulatory heart failure patients at Jimma Medical Center, South West Ethiopia: prospective observational study.BMC cardiovascular disorders · 2023Observational
- Cardiovascular implications of the COVID-19 pandemic.Journal of cardiology · 2022Review
- Association of Patient and Primary Care Provider Factors with Outpatient COPD Care Quality.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- Disparities in the characteristics and outcomes of patients hospitalized with acute decompensated heart failure admitted to internal medicine and cardiology departments: a single-centre, retrospective cohort study.ESC heart failure · 2021Article
- Cardiovascular Disease in the Post-COVID-19 Era - the Impending Tsunami?Heart, lung & circulation · 2020Article
- Article
- Observational
- Putting veterans with heart failure FIRST improves follow-up and reduces readmissions.BMJ open quality · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the effect of cardiologist care on adherence to evidence-based secondary prevention medications, mortality and readmission within 6 months of discharge in patients with heart failure (HF).
designRetrospective observational study based on administrative data.
settingLocal Healthcare Authority (LHA) of Bologna, one of the largest LHAs of Italy with ~870 000 inhabitants.
participantsAll patients residing in the LHA of Bologna discharged from hospital with a diagnosis of HF between 1 January 2015 and 31 December 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: Multivariable regression analysis was used to assess the association of inpatient and outpatient cardiologist care with adherence to evidence-based medications, all-cause mortality and hospital readmission (including emergency room visits) within 6 months of discharge.
resultsThe study population included 2650 patients (mean age 82.3 years). 340 (12.8%) patients were discharged from cardiology wards, while 635 (24.0%) were seen by a cardiologist during follow-up. Inpatient and outpatient cardiologist care was associated with an increased likelihood of adherence to ACE inhibitors/angiotensin receptor blockers (ACEIs/ARBs), β-blockers and aldosterone antagonists after discharge. The risk of mortality was significantly lower among patients adherent to ACEIs/ARBs and/or β-blockers (-53% and -28%, respectively); the risk of hospital readmission was significantly lower among patients adherent to ACEIs/ARBs (-28%).
conclusionsCompared with non-specialist care, cardiologist care improves patient adherence to evidence-based medications and might thus favourably affect mortality and readmission following HF.
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