Objectives: Heart Failure (HF) is present in 10% of elderly. National registries were developed a decade ago and for the public sector. To solve the current gap in baseline data for these patients and the need of leveraging pilots in the private sector, an analytic study of baseline characteristics was conducted in a private provider (PP): Clínica Dávila.

Methods: A database for a universe of n=47 cases admitted in a PP was analyzed (2014-2018 follow-up). Sociodemographic, Clinical and Cardiovascular variables were examined; Hospitalizations and Out-patient services were quantified. Non-parametric tests have been applied to control the effect of small population. Analysis was segmented into two stages: before-admission and during-treatment in PP.

Results: Just 40.4% of cases were private insurances beneficiaries; 57.4% were men. Mean age was 66.7 years-old (sd 13.8) -higher relative frequency in 78-87 yo (30.0%). Before-treatment: 53.3% of patients were classified in group III of the New York Heart Association (NYHA) scale (65.0% women). Most prevalent cardiomyopathy was ischemic; Patients present 1.28 diagnosis in average; 23.4% and 4,3% present two and three cardiomyopathies respectively. Most of Acute-myocardial infarction patients were classified in NYHA III (54.5%). During-treatment: Patients experiment 0.59 non-HF hospitalizations/year. Admission for non-HF causes was 1.22 higher than HF-Hospitalization. Association between before-admission NYHA and HF-hospitalization was significant (Rho 0.402, p. 0.04). Spearman correlation for non-cardiovascular mortality and rate of non-cardiovascular hospitalization was 0.3 (Rho p.0.038). For cardiovascular mortality and hospitalization, Fisher-Test (Pearson) was r-0,771 (p.0.037). Association between HF-emergency-room visits and cardiovascular mortality was significant (V-Cramer 0.33, p.0.045 Exact Fisher). HF-hospitalizations were more frequent in Intensive Care Unit (84.7%) with 33.6 days in average (3.6 days higher than national); And higher in private beneficiaries (U Mann-Whitney Test p.0.005). HF out-patient visits were 2.98/year.

Conclusions: Conservative baseline data was obtained as a key step for promoting access initiatives for HF in PP.