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Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018.

Publication ,  Journal Article
Ijaz, SH; Jamal, S; Minhas, AMK; Sheikh, AB; Nazir, S; Khan, MS; Minhas, AS; Hays, AG; Warraich, HJ; Greene, SJ; Fudim, M; Honigberg, MC ...
Published in: Am J Cardiol
April 1, 2022

Data are limited on contemporary temporal trends in maternal characteristics and outcomes in hospitalized patients with peripartum cardiomyopathy (PC). We used the National Inpatient Sample database from January 1, 2004, to December 31, 2018, to identify PC hospitalizations in women aged 15 to 54 years. Weighted survey data were used to derive national estimates for the United States population and examine trends. Between 2004 and 2018, there was a total of 23,420 weighted hospitalizations for PC in women aged 15 to 54 years. The mean (standard error) age of this hospitalized PC population was 30.3 (0.1) years, with 44.6% White, 39.3% Black, 9.0% Hispanics, and 7.1% "Other" racial/ethnic groups. There was a nonsignificant increase in the PC hospitalization per 100,000 live births from 33.6 in 2004 to 42.4 in 2018 (p-trend = 0.06) over the study period, driven by a statistically significant increase in the younger women age group 15 to 35 years (p-trend = 0.04). The PC hospitalizations per 100,000 live births for women aged 36 to 54 years were more than double that observed in women aged 15 to 35 years (77.6 vs 33.5). PC hospitalizations were more than threefold greater in Black versus White women (103.5 vs 32.0 per 100,000 live births). Overall, inpatient mortality was 0.8%; the adjusted inpatient mortality showed a nonsignificant overall decrease from 1.1% in 2004 to 0.5% in 2018 (p-trend = 0.15). The overall mean length of stay was 4.6 days; the adjusted mean length of stay decreased from 5.8 days in 2004 to 4.6 days in 2018 (p-trend <0.01). In conclusion, there has been a nonsignificant increase in hospitalizations for PC, driven by an increasing rate of hospitalizations in younger women. The older maternal age group and Black patients had a higher proportional hospitalization as compared with the younger age group and White patients. There was a nonsignificant decrease in inpatient mortality.

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Published In

Am J Cardiol

DOI

EISSN

1879-1913

Publication Date

April 1, 2022

Volume

168

Start / End Page

142 / 150

Location

United States

Related Subject Headings

  • United States
  • Racial Groups
  • Puerperal Disorders
  • Peripartum Period
  • Humans
  • Hospitalization
  • Female
  • Cardiovascular System & Hematology
  • Cardiomyopathies
  • 3201 Cardiovascular medicine and haematology
 

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Ijaz, S. H., Jamal, S., Minhas, A. M. K., Sheikh, A. B., Nazir, S., Khan, M. S., … Michos, E. D. (2022). Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018. Am J Cardiol, 168, 142–150. https://doi.org/10.1016/j.amjcard.2021.12.034
Ijaz, Sardar Hassan, Shakeel Jamal, Abdul Mannan Khan Minhas, Abu Baker Sheikh, Salik Nazir, Muhammad Shahzeb Khan, Anum S. Minhas, et al. “Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018.Am J Cardiol 168 (April 1, 2022): 142–50. https://doi.org/10.1016/j.amjcard.2021.12.034.
Ijaz SH, Jamal S, Minhas AMK, Sheikh AB, Nazir S, Khan MS, et al. Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018. Am J Cardiol. 2022 Apr 1;168:142–50.
Ijaz, Sardar Hassan, et al. “Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018.Am J Cardiol, vol. 168, Apr. 2022, pp. 142–50. Pubmed, doi:10.1016/j.amjcard.2021.12.034.
Ijaz SH, Jamal S, Minhas AMK, Sheikh AB, Nazir S, Khan MS, Minhas AS, Hays AG, Warraich HJ, Greene SJ, Fudim M, Honigberg MC, Khan SS, Paul TK, Michos ED. Trends in Characteristics and Outcomes of Peripartum Cardiomyopathy Hospitalizations in the United States Between 2004 and 2018. Am J Cardiol. 2022 Apr 1;168:142–150.
Journal cover image

Published In

Am J Cardiol

DOI

EISSN

1879-1913

Publication Date

April 1, 2022

Volume

168

Start / End Page

142 / 150

Location

United States

Related Subject Headings

  • United States
  • Racial Groups
  • Puerperal Disorders
  • Peripartum Period
  • Humans
  • Hospitalization
  • Female
  • Cardiovascular System & Hematology
  • Cardiomyopathies
  • 3201 Cardiovascular medicine and haematology