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Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018.

Publication ,  Journal Article
Minhas, AMK; Ijaz, SH; Jamal, S; Dani, SS; Khan, MS; Greene, SJ; Fudim, M; Warraich, HJ; Shapiro, MD; Virani, SS; Nasir, K; Khan, SU
Published in: Circ Heart Fail
May 2022

BACKGROUND: Heart failure (HF) accounts for a significant proportion of morbidity, mortality, and health care costs among older adults in the United States. We evaluated trends in clinical outcomes and the economic burden of HF hospitalizations in older patients (≥80 years). METHODS: This analysis included data from the National Inpatient Sample between January 2004 and December 2018. We examined the trends of clinical characteristics, inpatient mortality, and health care cost utilization in older US adults for HF hospitalizations. RESULTS: We identified 6 034 951 weighted HF hospitalizations for older adults (3527 per 100 000 person-years). After an initial decline in HF hospitalizations per 100 000 older US older adults from 4211 in 2004 to 3089 in 2014, there was increase to 3388 in 2018 (P trend <0.001 for both). There was an overall increase in cardiometabolic and chronic comorbidities during the study period. Overall, inpatient mortality was 4.7%; the adjusted inpatient mortality decreased from 6.1% in 2004 to 3.6% in 2018 (P trend <0.001). There was a decrease in adjusted mean length of stay (from 6.0 days in 2004 to 4.7 days in 2018) and adjusted inflation-adjusted care costs (from $11 865 in 2004 to $9677 in 2018) during the study period (P trend <0.001 for both). In comparison with younger adults (<80 years), older adults had higher inpatient mortality (4.7% versus 2.2%) but lower inflation-adjusted care costs ($10 587 versus $14 088). CONCLUSIONS: This 15-year national data suggests that despite a higher comorbidity burden and the recent increase in hospitalizations for HF in older patients, there has been an encouraging trend towards lower inpatient mortality, health care cost, and hospital length of stay among older adults in the United States.

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Published In

Circ Heart Fail

DOI

EISSN

1941-3297

Publication Date

May 2022

Volume

15

Issue

5

Start / End Page

e008943

Location

United States

Related Subject Headings

  • United States
  • Middle Aged
  • Inpatients
  • Humans
  • Hospitalization
  • Hospital Mortality
  • Heart Failure
  • Comorbidity
  • Cardiovascular System & Hematology
  • Aged
 

Citation

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Minhas, A. M. K., Ijaz, S. H., Jamal, S., Dani, S. S., Khan, M. S., Greene, S. J., … Khan, S. U. (2022). Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018. Circ Heart Fail, 15(5), e008943. https://doi.org/10.1161/CIRCHEARTFAILURE.121.008943
Minhas, Abdul Mannan Khan, Sardar Hassan Ijaz, Shakeel Jamal, Sourbha S. Dani, Muhammad Shahzeb Khan, Stephen J. Greene, Marat Fudim, et al. “Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018.Circ Heart Fail 15, no. 5 (May 2022): e008943. https://doi.org/10.1161/CIRCHEARTFAILURE.121.008943.
Minhas AMK, Ijaz SH, Jamal S, Dani SS, Khan MS, Greene SJ, et al. Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018. Circ Heart Fail. 2022 May;15(5):e008943.
Minhas, Abdul Mannan Khan, et al. “Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018.Circ Heart Fail, vol. 15, no. 5, May 2022, p. e008943. Pubmed, doi:10.1161/CIRCHEARTFAILURE.121.008943.
Minhas AMK, Ijaz SH, Jamal S, Dani SS, Khan MS, Greene SJ, Fudim M, Warraich HJ, Shapiro MD, Virani SS, Nasir K, Khan SU. Trends in Characteristics and Outcomes in Primary Heart Failure Hospitalizations Among Older Population in the United States, 2004 to 2018. Circ Heart Fail. 2022 May;15(5):e008943.

Published In

Circ Heart Fail

DOI

EISSN

1941-3297

Publication Date

May 2022

Volume

15

Issue

5

Start / End Page

e008943

Location

United States

Related Subject Headings

  • United States
  • Middle Aged
  • Inpatients
  • Humans
  • Hospitalization
  • Hospital Mortality
  • Heart Failure
  • Comorbidity
  • Cardiovascular System & Hematology
  • Aged