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<p>Limited English Proficiency (LEP) has been associated with poor outcomes. Communication is a vital component of care in Heart Failure with reduced Ejection Fraction (HFrEF). Currently there is limited data on outcomes among LEP patients with HFrEF. In this study, we sought to evaluate outcomes of patients with HFrEF and LEP compared to English-speaking patients. This is a single center, propensity score matched retrospective cohort study of patients with HFrEF who received care between 2010 and 2022. Five-year mortality, guideline directed medical therapy (GDMT) utilization, length of stay, and readmissions were compared between LEP and English-speaking patients with HFrEF. The study cohort consisted of 2136 English-speaking patients and 951 LEP patients. There was no statistically significant difference in 5-year mortality among LEP patients and English speakers in an adjusted model. LEP patients were more likely to have emergency department visits compared to English speakers (69% vs. 65%, <i>p</i> = 0.04) but less likely to have an inpatient admission (82% vs. 85%, <i>p</i> = 0.03). Russian speakers in our cohort had longer total length of stay, higher number of emergency department visits, and higher number of inpatient admissions. LEP patients with HFrEF had no mortality difference compared to English speakers; however, they had a higher number of emergency department visits. Future studies detailing the impact of language on outpatient communication and utilization of care are needed to inform the design of targeted interventions.</p>

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Outcomes Among Patients with Systolic Heart Failure and Limited English Proficiency

  • 期刊论文

  • 发表日期：

    2026年2月5日

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  • Zara Latif,
  • Tracy Makuvire,
  • Anna Modest,
  • Pablo Quintero Pinzon,
  • Rishi Wadhera,
  • Eli Gelfand,
  • Fatima Rodriguez,
  • A. Reshad Garan,
  • Haider Warraich

摘要

Limited English Proficiency (LEP) has been associated with poor outcomes. Communication is a vital component of care in Heart Failure with reduced Ejection Fraction (HFrEF). Currently there is limited data on outcomes among LEP patients with HFrEF. In this study, we sought to evaluate outcomes of patients with HFrEF and LEP compared to English-speaking patients. This is a single center, propensity score matched retrospective cohort study of patients with HFrEF who received care between 2010 and 2022. Five-year mortality, guideline directed medical therapy (GDMT) utilization, length of stay, and readmissions were compared between LEP and English-speaking patients with HFrEF. The study cohort consisted of 2136 English-speaking patients and 951 LEP patients. There was no statistically significant difference in 5-year mortality among LEP patients and English speakers in an adjusted model. LEP patients were more likely to have emergency department visits compared to English speakers (69% vs. 65%, p = 0.04) but less likely to have an inpatient admission (82% vs. 85%, p = 0.03). Russian speakers in our cohort had longer total length of stay, higher number of emergency department visits, and higher number of inpatient admissions. LEP patients with HFrEF had no mortality difference compared to English speakers; however, they had a higher number of emergency department visits. Future studies detailing the impact of language on outpatient communication and utilization of care are needed to inform the design of targeted interventions.