Reducing heart failure admission rates in England 2004–2011 are not related to changes in primary care quality: national observational study

Heart failure (HF) is an important clinical problem. Expert consensus has defined HF as a primary care‐sensitive condition for which the risk of unplanned admissions may be reduced by high quality primary care, but there is little supporting evidence. We analysed time trends in HF admission rates in England and risk and protective factors for admission.

[1]  Simon Briscoe,et al.  Exercise-based rehabilitation for heart failure. , 2014, The Cochrane database of systematic reviews.

[2]  Colin Simpson,et al.  Long-Term Trends in First Hospitalization for Heart Failure and Subsequent Survival Between 1986 and 2003: A Population Study of 5.1 Million People , 2009, Circulation.

[3]  J. McMurray,et al.  Clinical epidemiology of heart failure: public and private health burden. , 1998, European heart journal.

[4]  R. McKelvie,et al.  Canadian Cardiovascular Society consensus conference recommendations on heart failure 2006: diagnosis and management. , 2006, The Canadian journal of cardiology.

[5]  D. Lane,et al.  Psychological interventions for depression in heart failure. , 2005, The Cochrane database of systematic reviews.

[6]  S. Ebrahim,et al.  Exercise based rehabilitation for heart failure. , 2004, The Cochrane database of systematic reviews.

[7]  S Capewell,et al.  More ‘malignant’ than cancer? Five‐year survival following a first admission for heart failure , 2001, European journal of heart failure.

[8]  G. Elwyn,et al.  Specialist clinics for reducing emergency admissions in patients with heart failure: a systematic review and meta-analysis of randomised controlled trials , 2013, Heart.

[9]  J. Robson,et al.  Hospital data may be more accurate than census data in estimating the ethnic composition of general practice populations. , 2009, Informatics in primary care.

[10]  G. Biondi-Zoccai,et al.  Meta-analysis of randomized controlled trials of statins versus placebo in patients with heart failure. , 2009, The American journal of cardiology.

[11]  R. Lancashire,et al.  Prevalence of left-ventricular systolic dysfunction and heart failure in the Echocardiographic Heart of England Screening study: a population based study , 2001, The Lancet.

[12]  J. McMurray,et al.  Trends in hospitalization for heart failure in Scotland 1980-1990. , 1993, European heart journal.

[13]  J. McMurray,et al.  Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. , 2004, Journal of the American College of Cardiology.

[14]  C. Holly Structured telephone support or telemonitoring programmes for patients with chronic heart failure , 2011 .

[15]  K. Swedberg,et al.  Decreasing one-year mortality and hospitalization rates for heart failure in Sweden; Data from the Swedish Hospital Discharge Registry 1988 to 2000. , 2003, European heart journal.

[16]  J. McMurray,et al.  An economic analysis of specialist heart failure nurse management in the UK; can we afford not to implement it? , 2002, European heart journal.

[17]  A. Majeed,et al.  Trends in hospital admissions and case fatality due to heart failure in England, 1990/91 to 1999/2000 , 2002 .

[18]  Simon Capewell,et al.  The current cost of heart failure to the National Health Service in the UK , 2002, European journal of heart failure.

[19]  J. McMurray,et al.  Trends in hospitalization for heart failure in Scotland, 1990-1996. An epidemic that has reached its peak? , 2001, European heart journal.

[20]  R. Doughty,et al.  Understanding changing patterns of survival and hospitalization for heart failure over two decades in New Zealand: utility of ‘days alive and out of hospital’ from epidemiological data , 2010, European journal of heart failure.

[21]  Chronic heart failure : management of chronic heart failure in adults in primary and secondary care , 2003 .

[22]  Salim Yusuf,et al.  Long-term ACE-inhibitor therapy in patients with heart failure or left-ventricular dysfunction: a systematic overview of data from individual patients , 2000, The Lancet.

[23]  N Freemantle,et al.  The EuroHeart Failure survey programme-- a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. , 2003, European heart journal.

[24]  Kevin J. Anstrom,et al.  Incidence and prevalence of heart failure in elderly persons, 1994-2003. , 2008, Archives of internal medicine.

[25]  V. Roger,et al.  Trends in prevalence and outcome of heart failure with preserved ejection fraction. , 2006, The New England journal of medicine.

[26]  Á. Atallah,et al.  Cardiac resynchronization therapy in patients with heart failure: systematic review , 2009, Sao Paulo medical journal = Revista paulista de medicina.

[27]  S. Capewell,et al.  Community Care in England: Reducing Socioeconomic Inequalities in Heart Failure , 2012, Circulation.

[28]  Gordon H Guyatt,et al.  A systematic review and meta-analysis of studies comparing readmission rates and mortality rates in patients with heart failure. , 2004, Archives of internal medicine.

[29]  Haske van Veenendaal,et al.  Effectiveness of self-management interventions on mortality , hospital readmissions , chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure : A systematic review , 2010 .

[30]  Harlan M Krumholz,et al.  National and regional trends in heart failure hospitalization and mortality rates for Medicare beneficiaries, 1998-2008. , 2011, JAMA.