Abstract
Abstract
Background.
Real-world data on acute heart failure (AHF) from Colombian public tertiary-care centres remain scarce. We aimed to characterize the clinical profile, treatment patterns, and in-hospital outcomes of patients admitted for AHF to a high-complexity public university hospital in southwestern Colombia.
Methods.
Institutional, observational, retrospective registry (June 2022–October 2024) including 251 consecutive patients ≥ 18 years with AHF and a hospital stay > 48 hours at Hospital Universitario del Valle Evaristo García ESE. Data across eight pre-specified domains were captured in REDCap. Continuous variables are reported as median (interquartile range, IQR) and categorical variables as n (%). Groups were compared by left ventricular ejection fraction (LVEF) category (Results.
Median age was 70 years (IQR 60.5–79); 59.8% were men; 14.7% were Afro-descendant; and 77.3% were enrolled in the subsidized health-insurance regime. LVEF was reduced (Conclusions.
This institutional registry provides the first comprehensive characterization of AHF at a public teaching hospital in southwestern Colombia. Substantial progress in GDMT implementation was documented at discharge, with a residual LVEF-based gap in SGLT-2 inhibitor prescription that constitutes an actionable quality-improvement target.
Clinical trial number:
not applicable.