miércoles, 7 de agosto de 2013

National trends in heart failure hospital ... [J Am Coll Cardiol. 2013] - PubMed - NCBI

National trends in heart failure hospital ... [J Am Coll Cardiol. 2013] - PubMed - NCBI

J Am Coll Cardiol. 2013 Mar 12;61(10):1078-88. doi: 10.1016/j.jacc.2012.11.057.

National trends in heart failure hospital stay rates, 2001 to 2009.


Kaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, Maryland 20852, USA. jersey.chen@kp.org



This study sought to analyze recent trends over time in heart failure (HF) hospital stay rates, length of stay (LOS), and in-hospital mortality by age groups with a large national dataset of U.S. hospital discharges.


Heart failure hospital stay rates, LOS, and mortality have fallen over the past decade for older Medicare beneficiaries, but whether this holds true for younger adults is unknown.


From the National Inpatient Sample, we calculated HF hospital stay rates, LOS, and in-hospital mortality from 2001 to 2009 with survey data analysis techniques.


Hospital stays (n = 1,686,089) with a primary discharge diagnosis of HF were identified from National Inpatient Sample data between 2001 and 2009. The overall national hospital stay rate decreased from 633 to 463 hospital stays/100,000 persons, (-26.9%, p-for-trend <0 -27.4="" .001="" 0.001="" 18="" 3.3="" 4.5="" 44="" 45="" 55="" 64="" 65="" 74="" 75="" a="" age="" analyses="" and="" black="" but="" decline="" declines="" did="" exhibit="" fell="" for="" from="" hf="" hospital="" however="" in-hospital="" in="" los="" men="" mortality="" not="" observed="" of="" older.="" only="" or="" over="" overall="" p-for-trend="0.43).</p" p="0.04)." patients="" rate="" relative="" secondary="" significant="" statistically="" stay="" time="" to="" were="" white="" women="" years="">


Younger patients have not experienced comparable declines in HF hospital stay, LOS, and in-hospital mortality as older patients. Black men remain a vulnerable population for HF hospital stay.
Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
[PubMed - indexed for MEDLINE]

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