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Influence of Sacubitril/Valsartan (LCZ696) on 30-Day Readmission After Heart Failure Hospitalization

Författare och institution:
A. S. Desai (-); B. L. Claggett (-); M. Packer (-); M. R. Zile (-); J. L. Rouleau (-); Karl Swedberg (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); V. Shi (-); M. Lefkowitz (-); R. Starling (-); J. Teerlink (-); J. J. V. McMurray (-); S. D. Solomon (-)
Publicerad i:
Journal of the American College of Cardiology, 68 ( 3 ) s. 242-248
ISSN:
0735-1097
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
BACKGROUND Patients with heart failure (HF) are at high risk for hospital readmission in the first 30 days following HF hospitalization. OBJECTIVES This study sought to determine if treatment with sacubitril/valsartan (LCZ696) reduces rates of hospital readmission at 30-days following HF hospitalization compared with enalapril. METHODS We assessed the risk of 30-day readmission for any cause following investigator-reported hospitalizations for HF in the PARADIGM-HF trial, which randomized 8,399 participants with HF and reduced ejection fraction to treatment with LCZ696 or enalapril. RESULTS Accounting for multiple hospitalizations per patient, there were 2,383 investigator-reported HF hospitalizations, of which 1,076 (45.2%) occurred in subjects assigned to LCZ696 and 1,307 (54.8%) occurred in subjects assigned to enalapril. Rates of readmission for any cause at 30 days were 17.8% in LCZ696-assigned subjects and 21.0% in enalapril-assigned subjects (odds ratio: 0.74; 95% confidence interval: 0.56 to 0.97; p = 0.031). Rates of readmission for HF at 30-days were also lower in subjects assigned to LCZ696 (9.7% vs. 13.4%; odds ratio: 0.62; 95% confidence interval: 0.45 to 0.87; p = 0.006). The reduction in both all-cause and HF readmissions with LCZ696 was maintained when the time window from discharge was extended to 60 days and in sensitivity analyses restricted to adjudicated HF hospitalizations. CONCLUSIONS Compared with enalapril, treatment with LCZ696 reduces 30-day readmissions for any cause following discharge from HF hospitalization.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Kardiologi
Nyckelord:
hospitalization, neprilysin, readmission, sacubitril/valsartan, all-cause readmission, medicare beneficiaries, neprilysin inhibition, care, association, population, guidelines, enalapril, statement, mortality, Cardiovascular System & Cardiology
Postens nummer:
239619
Posten skapad:
2016-07-28 13:30
Posten ändrad:
2016-08-05 11:24

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