068 Ten-year in-hospital mortality trend for patients hospitalized for heart failure in a single French heart failure clinic

BackgroundHeart Failure (HF) is a frequent and severe disease. Overall prognosis of systolic HF is poor, and one-year survival rate is lower than most cancers. For that reason, HF units were progressively created in cardiology departments according to the European guidelines.AimThe aim of this study was to describe the evolution in all-cause in-hospital mortality in patients hospitalized for HF in the HF clinic created at René Dubos hospital (Pontoise, France).MethodsWe conducted a descriptive study of all-cause in-hospital mortality in a whole population of 4801 patients hospitalized for HF (range per year: 248-640 patients) from January 1997 to December 2007 in our HF clinic. Chi square, test for trend and linear regression were performed.ResultsOur population consisted of 2331 men (48.6%) with a mean age per year ranging from 67.8 to 75.8 years, and a percentage of patients presenting with systolic HF (LVEF<45%) of 53.8%. There were no significant differences in terms of sex, diabetes mellitus or LVEF<45%, except for age and renal insufficiency. All-cause in-hospital mortality rate for patients hospitalized for HF appeared to be significantly decreasing during ten-year follow-up (p