Table 2 Clinical outcomes according to ejection fraction category and randomized therapy

From: Dapagliflozin across the range of ejection fraction in patients with heart failure: a patient-level, pooled meta-analysis of DAPA-HF and DELIVER

 

≤30%

>30 and ≤37%

>37 and ≤44%

>44 and ≤51%

>51 and ≤60%

>60%

Pooled cohort

Placebo

Dapa

Placebo

Dapa

Placebo

Dapa

Placebo

Dapa

Placebo

Dapa

Placebo

Dapa

Placebo

Dapa

CV death

n/N

154/1,099

126/1,062

74/785

65/799

106/900

93/963

109/947

96/915

96/1,054

102/1,088

68/718

43/677

607/5,503

525/5,504

Rate per 100 patient years (95% CI)

9.9 (8.5–11.6)

8.4 (7.0–10.0)

6.4 (5.1–8.1)

5.6 (4.4–7.1)

6.8 (5.6–8.2)

5.4 (4.4–6.6)

5.2 (4.3–6.3)

4.7 (3.9–5.8)

4.1 (3.3–4.9)

4.2 (3.4–5.1)

4.3 (3.4–5.4)

2.8 (2.1–3.8)

5.9 (5.4–6.4)

5.1 (4.6–5.5)

HR (95% CI)

0.85 (0.67–1.07)

0.86 (0.61–1.20)

0.81 (0.61–1.07)

0.91 (0.69–1.20)

1.02 (0.77–1.34)

0.68 (0.47–1.00)

0.86 (0.76–0.97)

All-cause death

n/N

172/1,099

145/1,062

94/785

78/799

147/900

137/963

169/947

153/915

159/1,054

169/1,088

114/718

91/677

855/5,503

773/5,504

Rate per 100 patient years (95% CI)

11.1 (9.5–12.9)

9.6 (8.2–11.3)

8.1 (6.6–10.0)

6.7 (5.3–8.3)

9.4 (8.0–11.0)

7.9 (6.7–9.4)

8.0 (6.9–9.3)

7.5 (6.4–8.8)

6.7 (5.7–7.8)

6.9 (5.9–8.0)

7.2 (6.0–8.6)

6.0 (4.9–7.4)

8.3 (7.7–8.8)

7.4 (6.9–8.0)

HR (95% CI)

0.87 (0.70–1.09)

0.81 (0.60–1.09)

0.86 (0.68–1.08)

0.94 (0.75–1.17)

1.02 (0.82–1.27)

0.86 (0.65–1.13)

0.90 (0.82–0.99)

Total HF hospitalizations

n/N

274/1,099

179/1,062

128/785

111/799

171/900

119/963

219/947

179/915

250/1,054

165/1,088

134/718

95/677

1176/5,503

848/5,504

Rate per 100 patient years (95% CI)

17.8 (15.8–20.0)

11.9 (10.3–13.8)

11.2 (9.4–13.3)

9.5 (7.9–11.5)

10.9 (9.4–12.7)

6.9 (5.8–8.38)

10.5 (9.2–12.0)

8.8 (7.6–10.2)

10.6 (9.4–12.0)

6.8 (5.8–7.9)

8.5 (7.1–10.0)

6.3 (5.2–7.7)

11.4 (10.8–12.1)

8.2 (7.7–8.8)

RR (95% CI)

0.66 (0.54–0.80)

0.84 (0.64–1.09)

0.62 (0.48–0.79)

0.84 (0.68–1.03)

0.63 (0.51–0.77)

0.77 (0.59–1.02)

0.71 (0.65–0.78)

HF hospitalization

n/N

179/1,099

118/1,062

93/785

74/799

102/900

88/963

131/947

107/915

150/1,054

107/1,088

81/718

66/677

736/5,503

560/5,504

Rate per 100 patient years (95% CI)

12.4 (10.7–14.4)

8.2 (6.9–9.8)

8.6 (7.0–10.5)

6.6 (5.3–8.3)

6.9 (5.7–8.4)

5.4 (4.4–6.6)

6.7 (5.7–8.0)

5.6 (4.6–6.7)

6.9 (5.8–8.1)

4.6 (3.8–5.6)

5.4 (4.4–6.8)

4.6 (3.6–5.9)

7.7 (7.1–8.2)

5.7 (5.2–6.2)

HR (95% CI)

0.66 (0.52–0.83)

0.76 (0.56–1.03)

0.78 (0.59–1.04)

0.83 (0.64–1.07)

0.66 (0.51–0.84)

0.88 (0.64–1.22)

0.74 (0.66–0.82)

CV death, MI or stroke

n/N

176/1,099

153/1,062

99/785

88/799

133/900

125/963

150/947

130/915

139/1,054

153/1,088

91/718

66/677

788/5,503

715/5,504

Rate per 100 patient years (95% CI)

11.6 (10.0–13.4)

10.3 (8.8–12.1)

8.8 (7.2–10.7)

7.7 (6.2–9.5)

8.7 (7.3–10.3)

7.4 (6.2–8.9)

7.3 (6.3–8.6)

6.6 (5.5–7.8)

6.0 (5.1–7.1)

6.4 (5.5–7.5)

5.8 (4.7–7.2)

4.5 (3.5–5.7)

7.8 (7.3–8.4)

7.1 (6.6–7.6)

HR (95% CI)

0.90 (0.72–1.11)

0.86 (0.65–1.15)

0.87 (0.68–1.11)

0.89 (0.70–1.13)

1.07 (0.85–1.34)

0.77 (0.56–1.06)

0.90 (0.81–1.00)

CV death or HF hospitalization

n/N

271/1,099

203/1,062

141/785

117/799

183/900

153/963

195/947

173/915

209/1,054

175/1,088

129/718

92/677

1128/5,503

913/5,504

Rate per 100 patient years (95% CI)

18.8 (16.7–21.2)

14.1 (12.3–16.2)

13.0 (11.0–15.3)

10.4 (8.7–12.5)

12.5 (10.8–14.4)

9.3 (8.0–10.9)

10.0 (8.7–11.5)

9.0 (7.8–10.4)

9.6 (8.4–11.0)

7.5 (6.5–8.7)

8.7 (7.3–10.3)

6.4 (5.2–7.9)

11.7 (11.1–12.4)

9.2 (8.7–9.9)

HR (95% CI)

0.75 (0.63–0.90)

0.79 (0.62–1.01)

0.75 (0.61–0.93)

0.90 (0.73–1.10)

0.77 (0.63–0.95)

0.77 (0.59–1.00)

0.78 (0.72–0.86)

  1. HRs and the 95% CI are estimated from Cox’s model and the rate ratio (RR) and 95% CI are estimated from a joint frailty model with death from CV causes as a competing event.
  2. Dapa, dapagliflozin.