77 Contemporary prognosis of patients hospitalised with a primary diagnosis of heart failure: the national heart failure audit of england & wales

Background The National Heart Failure Audit for England & Wales collects information on hospital deaths and discharges attributed primarily to heart failure. The data collection tool is web-based with >250 fields. Mandatory data include age, sex, deprivation-index, admission symptoms, aetiology and co-morbidity, electro- and echo-cardiographic data, standard laboratory tests and discharge medications. Patients are followed up for re-admissions and deaths through linkage to national records. Purpose To describe the contemporary in-patient and post-discharge mortality of patients with a primary death or discharge diagnosis of heart failure reported by hospitals in England & Wales, stratified by age, sex and left ventricular phenotype. Methods Descriptive. Patient characteristics are described as medians with inter-quartile ranges. Time to event analyses using Kaplan-Meier. Results Altogether, 157,682 unique patients (>75% of all relevant admissions) were entered into the registry between April 2014-March 2018, of whom 45% were women (median age of 82 (75–88) years; 56% with LVEF Age, but neither sex nor LVEF, was a strong determinant of both in-patient and post-discharge mortality. In-patient mortality ranged from 3.2% in those aged 85 years. One-year mortality for patients who survived to discharge ranged from 10.4% in those aged 85 years (figure shows age-stratified, post-discharge, one-year mortality for people enrolled 2014–17). Conclusion More than 60% of people hospitalised primarily for heart failure in England & Wales are aged >75 years and most have a reduced left ventricular ejection fraction. Treatment and outcome are strongly influenced by age. In-patient and post-discharge mortality remain high for older patients hospitalised with a primary diagnosis of heart failure. Conflict of Interest None