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Destination: titlink1 Children: Item: Title: Introduction Destination: flink1 Item: Title: Methods Destination: flink2 Children: Item: Title: Population Destination: slink1 Item: Title: Definitions and analysis of outcomes Destination: slink2 Item: Title: Structural hospital variables by autonomous community Destination: slink3 Item: Title: Health determinants Destination: slink4 Item: Title: Statistical analysis Destination: slink5 Item: Title: Role of the funding source Destination: slink6 Item: Title: Results Destination: flink3 Children: Item: Title: Hospitalisation rate and in-hospital mortality Destination: slink7 Item: Title: Differences in hospital complexity between autonomous communities and their association with mortality Destination: slink8 Item: Title: Association between health determinants and in-hospital mortality Destination: slink9 Item: Title: Discussion Destination: flink4 Children: Item: Title: Conclusions Destination: slink10 Item: Title: ContributorsAll authors contributed to the conception and design of the study. NR, SF, NP, JLB, CP, and FJE contributed to ... Destination: blink1 Item: Title: Data sharing statementThe hospital discharge data used in this study are available upon request from the Spanish Ministry o ... Destination: blink2 Item: Title: Editor noteThe Lancet Group takes a neutral position with respect to territorial claims in published maps and institutional ... Destination: blink3 Item: Title: Declaration of interests Destination: blink4 Item: Title: Acknowledgements Destination: blink5 Item: Title: Appendix A. 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Gámez Ángel Cequier Fillat Clara Bonanad Lozano Antonia Sambola Lorenzo Fácila Rubio Luis Rodríguez Padial Raquel Campuzano Ruíz Milagros Pedreira Pérez José M. de la Torre Hernández Nicolás Rosillo Sofía Sánchez Fernández Náyade del Prado José Luis Bernal Cristina Fernández Pérez Diego Alvaredo Sergio Rico-Martín Francisco Javier Elola-Somoza Heart failure Hospitalisation In-hospital mortality Regional disparities Socioeconomic factors Health determinants The Lancet Regional Health - Europe, 61 (2026) 101549. doi:10.1016/j.lanepe.2025.101549 The Author(s) journal The Lancet Regional Health - Europe © 2025 The Author(s). 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