{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:14:13Z","timestamp":1776989653009,"version":"3.51.4"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Heart failure (HF) continues to be a major cause of morbidity and mortality worldwide, placing a significant burden on healthcare systems. Differences in the outcomes of HF hospitalizations for adults in teaching vs. non-teaching hospitals in urban settings are uncertain. We evaluated outcomes of HF hospitalizations in patients hospitalized in urban teaching vs. non-teaching hospitals in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>HF hospitalizations were abstracted from the 2016 through 2022 Nationwide Readmissions Database and stratified into urban teaching vs. urban non-teaching hospital settings. Propensity-score matching was used to control for baseline differences between teaching and non-teaching hospital cohorts. Logistic regression and lognormal models were estimated to assess differences in inpatient mortality, length of stay (LOS), total costs, complications, and 30-day and 90-day all-cause readmissions. A total of 7 558 299 weighted HF hospitalizations were included in the analysis, of which 76.3% involved urban teaching hospitalizations. Compared to urban non-teaching, HF hospitalizations in urban teaching hospitals were associated with significantly higher odds of inpatient mortality (OR 1.19, 95% confidence interval [CI]: 1.16\u20131.22), complications including cardiogenic shock, cardiac arrest, Intra-aortic balloon pump, cardiopulmonary resuscitation, extracorporeal membrane oxygenation and mechanical ventilation use as well as more extended hospital LOS, higher total costs, palliative care consultation and readmissions rates (all P &amp;lt; 0.001). 30-day and 90-day all-cause readmission rates were also statistically higher in teaching hospitals, though the difference was clinically non-significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HF hospitalizations in urban teaching hospitals were associated with higher inpatient mortality, complication rates, resource utilization, and palliative care consult rates than urban non-teaching hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjopen\/oeag003","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T12:43:51Z","timestamp":1768394631000},"source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of heart failure hospitalizations at urban teaching vs. Non-Teaching Hospitals: A Nationwide Propensity Score Matched Analysis in the United States"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5145-8626","authenticated-orcid":false,"given":"Ali Bin","family":"Abdul Jabbar","sequence":"first","affiliation":[{"name":"Department of Medicine, Creighton University School of Medicine , 7710 Mercy Road, Suite 301, Omaha, NE 68124-2368 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Abdullah","family":"Javed","sequence":"additional","affiliation":[{"name":"Department of Medicine, Baylor College of Medicine , Houston, TX 77030 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Clinical Research and Public Health, Creighton University , Omaha, NE 68124 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"Ismayl","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic , Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M","family":"Goldsweig","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Baystate Medical Center and Division of Cardiovascular Medicine, University of Massachusetts-Baystate , Springfield, MA 01199 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Aboeata","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiovascular Diseases, Creighton University School of Medicine , Omaha, NE 68124 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"key":"2026021902261655200_oeag003-B1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.cardfail.2021.08.020","article-title":"Trends in heart failure hospitalizations in the US from 2008 to 2018","volume":"28","author":"Clark","year":"2022","journal-title":"J Card Fail"},{"key":"2026021902261655200_oeag003-B2","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.amjcard.2024.10.003","article-title":"National costs for cardiovascular-related hospitalizations and inpatient procedures in the United States, 2016 to 2021","volume":"234","author":"Haidar","year":"2025","journal-title":"Am J Cardiol"},{"key":"2026021902261655200_oeag003-B3","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1056\/NEJMoa1914433","article-title":"Multidrug-resistant bacterial infections in U.S. Hospitalized patients, 2012\u20132017","volume":"382","author":"Jernigan","year":"2020","journal-title":"N Engl J Med"},{"key":"2026021902261655200_oeag003-B4"},{"key":"2026021902261655200_oeag003-B5"},{"key":"2026021902261655200_oeag003-B6","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s11606-019-05449-x","article-title":"Comparing outcomes and costs of medical patients treated at Major teaching and non-teaching hospitals: a national matched analysis","volume":"35","author":"Silber","year":"2020","journal-title":"J Gen Intern Med"},{"key":"2026021902261655200_oeag003-B7","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/1475-6773.13248","article-title":"The association of hospital 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