Determinants of Guideline-Directed Medical Therapy Implementation During Heart Failure Hospitalization.

For patients with new diagnosis of HFrEF, the association continued to be significant after adjustment and tended toward significance after adjustment for both rehospitalization and mortality.

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Patients experiencing homelessness also had significantly lower discharge mOMT scores (0.42, 95% CI: 0.38-0.46 vs 0.48, 95% CI: 0.46-0.51; P = 0.01), with values trending toward significance in both patients with new and pre-existing diagnoses.

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Since prior studies had reported that GDMT utilization was related to patient age, 5 , 6 , 14 , 19 we also considered age as a continuous rather than dichotomous variable and found that increasing age had only a modest impact of borderline significance on optimal GDMT utilization.

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