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- W2016977980 abstract "Background: Therapies for heart failure known to reduce admission rates are increasingly used; however, recent trends in U.S. hospitalization rates are unclear. Methods: We used data from the National Hospital Discharge Survey from 2000 to 2004, a random sample of all discharges from non-federal hospitals. There were 51,670 hospitalizations with heart failure as the primary reason for admission. Rates of admission per age group were calculated using U.S. census data. Trends in in-hospital survival, length of stay, and comorbidity were determined. Results: From 2000 to 2004, the mean age remained unchanged at 72.3 years while the fraction of males increased (43% to 46%, p < 0.0001). Increases were seen for comorbid COPD (30% to 34%, p < 0.0001) and renal disease (3.3% to 2.3%, p < 0.0001) while decreases were seen for cerebrovascular disease (3.3% to 2.3%, p < 0.0001) and diabetes (34% to 31%, p < 0.0001). The overall Charlson comorbidity score increased slightly from 2.24 to 2.28 (p = 0.008). The age-adjusted admission rate per 1000 increased from 21.4 in 2000 to 23 in 2004. This was due to increases in admission rates for the oldest age groups (Figure). Mortality decreased (but not significantly) overall (4.0% to 3.4%, p = 0.14) and for different age groups (Figure). However, length of stay decreased from 5.8 days to 5.4 days (p = 0.002) and the death rate adjusted for length of stay was unchanged. Conclusion: Age-specific admission rates for heart failure continue to increase in the United States. A non-significant trend toward improved survival was also noted in the older age groups." @default.
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- W2016977980 date "2007-08-01" @default.
- W2016977980 modified "2023-09-25" @default.
- W2016977980 title "Trends in Heart Failure Hospitalization Rate and Outcome in the United States" @default.
- W2016977980 doi "https://doi.org/10.1016/j.cardfail.2007.06.561" @default.
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