Age-specific trends and outcomes of hospitalizations with acute heart failure in the United States.


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 05 2021
Historique:
received: 09 01 2021
revised: 07 02 2021
accepted: 10 02 2021
pubmed: 21 2 2021
medline: 29 5 2021
entrez: 20 2 2021
Statut: ppublish

Résumé

To analyze the age-specific temporal trends, in-hospital outcomes and readmissions for acute heart failure (HF). There is a paucity of data on the age-specific differences in the trends and outcomes of hospitalizations with acute HF. The National Inpatients Sample database years 2002-2016 and the National Readmissions Database years 2013-2016 were used to identify primary hospitalizations for acute HF. We analyzed the age-specific temporal trends, in-hospital outcomes, and readmissions for acute HF. The annual rate of hospitalizations for acute HF declined from 456 per 100,000 people in 2002 to 356 per 100,000 people in 2016 (P This nationwide contemporary analysis demonstrated a decline in the annual rates of hospitalizations with acute HF across all age categories except those aged 18-44 years. There was a reduction in rates of in-hospital mortality among middle-aged and older patients, but not in those aged 18-34. In-hospital mortality exhibited a dichotomous relationship with age. There was an inverse relationship between age and 30-days HF readmissions.

Sections du résumé

OBJECTIVE
To analyze the age-specific temporal trends, in-hospital outcomes and readmissions for acute heart failure (HF).
BACKGROUND
There is a paucity of data on the age-specific differences in the trends and outcomes of hospitalizations with acute HF.
METHODS
The National Inpatients Sample database years 2002-2016 and the National Readmissions Database years 2013-2016 were used to identify primary hospitalizations for acute HF. We analyzed the age-specific temporal trends, in-hospital outcomes, and readmissions for acute HF.
RESULTS
The annual rate of hospitalizations for acute HF declined from 456 per 100,000 people in 2002 to 356 per 100,000 people in 2016 (P
CONCLUSIONS
This nationwide contemporary analysis demonstrated a decline in the annual rates of hospitalizations with acute HF across all age categories except those aged 18-44 years. There was a reduction in rates of in-hospital mortality among middle-aged and older patients, but not in those aged 18-34. In-hospital mortality exhibited a dichotomous relationship with age. There was an inverse relationship between age and 30-days HF readmissions.

Identifiants

pubmed: 33609592
pii: S0167-5273(21)00284-9
doi: 10.1016/j.ijcard.2021.02.031
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

98-105

Informations de copyright

Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All authors have no conflict of interest to declare.

Auteurs

Ayman Elbadawi (A)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Alexander Dang (A)

Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Islam Y Elgendy (IY)

Division of Cardiology, Weill Cornell Medicine-Qatar, Doha, Qatar.

Ravi Thakker (R)

Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Aiham Albaeni (A)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Mohamed A Omer (MA)

Department of Cardiology, Mayo Clinic School of Medicine, Rochester, MN, United States of America.

Ahmed H Mohamed (AH)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Syed Gilani (S)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Khaled Chatila (K)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Wissam I Khalife (WI)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America.

Ahmed Almustafa (A)

Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, United States of America. Electronic address: amelbada@utmb.edu.

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