E-24 | Hospital Frailty Score Index Effect on Outcomes of Heart Failure: An Insight from National Readmission Database

Heart failure (HF) is the most prevalent cardiac disease in United States. Impact of hospital frailty index among patients admitted for HF not well documented. We queried National readmission database from 2016-2019 using ICD-10 codes to identify HF. Patients were divided into low-intermediate (LIFS) and high-risk (HFS) sub-groups based on scores. Clinical outcomes assessed at admissions readmissions with STATA v.17. A total 20,308,898 identified, which 17,100,000 had LIFS scores 2,327,642 HFS. Hypertension (86% vs 82%) hyperlipidemia (52% 53%) frequent comorbidities both groups (p<0.05). belonging HFS higher rates mortality (aOR=2, 95% CI 1.97-2.03, p<0.001), AKI (aOR=3.09, 3.07-3.11, stroke (aOR=2.79, 2.74-2.83, MACCE (aOR=1.65; 1.63-1.66, p<0.001). There lower incidences need MCS (aOR=0.85, 0.81-0.90, CRT (aOR=0.37, 0.35-0.39, p<0.001) defibrillator placement (aOR=0.67, 0.66-0.68, compared LIFS. was no statistically significant difference MI (Figure 1 a b). high mortality, AKI, stroke, ones