Level of education and mortality in the vulnerable period following an acute heart failure hospitalization

Abstract Introduction Patients hospitalized for acute heart failure (HF) are at increased risk of death in the early post-discharge period, so-called the "vulnerable period" (1). Post-discharge treatment strategies can help improve outcomes, but the role of the patient's level of educ...

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Published in:European heart journal 2023-11, Vol.44 (Supplement_2)
Main Authors: Pereira Da Cunha, G, Melo, L H S, Neto, J D, Duarte, M B, Moretti, R, Vercka, K, Senger, C R, Pain, J R, Silvestre, O, Nadruz, W, Matos, L G, Adam, E L, Cirino, R D, Taniguchi, F B, Fernandes-Silva, M M
Format: Article
Language:English
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Summary:Abstract Introduction Patients hospitalized for acute heart failure (HF) are at increased risk of death in the early post-discharge period, so-called the "vulnerable period" (1). Post-discharge treatment strategies can help improve outcomes, but the role of the patient's level of education on this regard is unclear. Purpose To analyse the association between level of education and 180-day mortality after discharge from acute HF hospitalization. Methods We performed a prospective cohort study of patients who were discharged alive following hospitalization for acute HF in 26 hospitals in Brazil from February 2016 and September 2021. Patients were classified according to the International Standard Classification of Education 2011 into four groups: Less than Basic, Basic, Intermediate and Advanced. We analysed all-cause mortality in the 180 days following hospital discharge using Cox regression. Results We evaluated 2724 patients (mean age 61±15 years; 42% women) hospitalized for acute HF, who were divided according to education level: less than basic (n = 280, 10%), basic (n = 1503, 55%), intermediate (n = 716, 26%) and advanced (n = 225, 8%). Patients with lower education levels were older (68±12 vs 62±14 vs 56±16 vs 58±15 years, p-for-trend
ISSN:0195-668X
1522-9645
DOI:10.1093/eurheartj/ehad655.870