In-hospital and 1-year death rates of patients admitted to hospital with heart failure Death in hospital VA health care system (USA) Death within 1 year OPTIMIZE-HF (USA) ADHERE (USA) Medicare (USA) Worcester HF (USA) Medicare (USA) Heart failure study ESC-HF Pilot (Europe) EHFS II (Europe) EHFS (Europe) NICOR (England/Wales) FINN-AKVA (Finland) Notes Heart failure is also a very serious condition, and this slide shows about 4–10% of people admitted to hospital with acute heart failure die in hospital. Even more die within a year of being hospitalized for heart failure. The death rates are very consistent across the countries shown. References Veterans Affairs (VA) health care system Heidenreich PA, Sahay A, Kapoor JR, Pham MX, Massie B. Divergent trends in survival and readmission following a hospitalization for heart failure in the Veterans Affairs health care system 2002 to 2006. J Am Coll Cardiol 2010;56:362–8. OPTIMIZE-HF (Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure) Abraham WT, Fonarow GC, Albert NM et al. Predictors of in-hospital mortality in patients hospitalized for heart failure: insights from the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). J Am Coll Cardiol 2008;52:347–56. ADHERE (Acute Decompensated Heart Failure National Registry) Adams KF, Jr., Fonarow GC, Emerman CL et al. Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 2005;149:209–16. Medicare Curtis LH, Greiner MA, Hammill BG et al. Early and long-term outcomes of heart failure in elderly persons, 2001–2005. Arch Intern Med 2008;168:2481–8. Worcester HF (Heart Failure) Joffe SW, Webster K, McManus DD et al. Improved survival after heart failure: a community-based perspective. J Am Heart Assoc 2013;2:e000053. ESC-HF Pilot (European Society of Cardiology – Heart Failure Pilot) Maggioni AP, Dahlstrom U, Filippatos G et al. EURObservational Research Programme: regional differences and 1-year follow-up results of the Heart Failure Pilot Survey (ESC-HF Pilot). Eur J Heart Fail 2013;15:808–17. EHFS II (EuroHeart Failure Surveys II) Nieminen MS, Brutsaert D, Dickstein K et al. EuroHeart Failure Survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population. Eur Heart J 2006;27:2725–36. (EHFS) EuroHeart Failure Surveys Cleland JG, Swedberg K, Follath F 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. Eur Heart J 2003;24:442–63 NICOR (National Institute for Cardiovascular Outcomes Research) Cleland J, Dargie H, Hardman S, McDonagh T, Mitchell P. National Heart Failure Audit: April 2011–March 2012. London: National Institute for Cardiovascular Outcomes Research, 2012. FINN-AKVA (Finnish Acute Heart Failure Study) Siirila-Waris K, Lassus J, Melin J et al. Characteristics, outcomes, and predictors of 1-year mortality in patients hospitalized for acute heart failure. Eur Heart J 2006;27:3011–17. OFICA (Observatoire Français de l’Insuffisance Cardiaque Aiguë) Logeart D, Isnard R, Resche-Rigon M et al. Current aspects of the spectrum of acute heart failure syndromes in a real-life setting: the OFICA study. Eur J Heart Fail 2013;15:465–76. IN-HF Outcome (Italian Registry on Heart Failure Outcome) Oliva F, Mortara A, Cacciatore G et al. Acute heart failure patient profiles, management and in-hospital outcome: results of the Italian Registry on Heart Failure Outcome. Eur J Heart Fail 2012;14:1208–17. Tavazzi L, Senni M, Metra M et al. Multicenter prospective observational study on acute and chronic heart failure: one-year follow-up results of IN-HF (Italian Network on Heart Failure) outcome registry. Circ Heart Fail 2013;6:473–81. EAHFE (Epidemiology Acute Heart Failure Emergency) Jacob Rodriguez J, Herrero Puente P, Martin Sanchez FJ et al. [EAHFE study: analysis of the patients with echocardiography performed prior to an emergency visit due to an episode of acute heart failure]. Rev Clin Esp 2011;211:329–37. OFICA (France) IN-HF Outcome (Italy) EAHFE (Spain) 10 20 30 40 Death rate (%)