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February 10, 2021JAMA CardiologyOpen Access

National Trends in Heart Failure Hospitalizations and Readmissions From 2010 to 2017

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Population

Patients with primary HF admissions in a nationally representative administrative data set

Comparison

Trends from 2010 to 2014 vs 2014 to 2017

Design

Retrospective analysis of a nationally representative administrative data set

Key result

Primary heart failure hospitalization rates increased from 4.2 per 1000 US adults in 2014 to 4.9 in 2017 after a decline from 4.4 in 2010 to 4.1 in 2013.

Authors

MAManyoo AgarwalGFGregg C. FonarowBZBoback Ziaeian

Discussion

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Overview

Observed rise in US HF hospitalizations after 2014 should not yet change practice; leaves open drivers and needs prospective confirmation.

Study Design

Type

Cohort (n=8,273,270)

Structured PICO

P
Population
8,273,270 primary heart failure hospitalizations in 5,092,626 unique adult patients (≥17 years) in the United States from 2010 to 2017. Mean age 72.1 years, 48.9% women.
O
Outcome
Unique and overall hospitalizations with a primary diagnosis of HF and postdischarge readmissionshard clinical

Main Result

Absolute Event Rate: 4.9% vs 4.4%

National rates of primary heart failure hospitalizations and 30-day readmissions in the US declined from 2010 to 2014 but subsequently increased through 2017.

Limitations

  • The database does not identify unique patients across different years.
  • Clinical data such as ejection fraction are not available.
  • Does not include patient’s race or ethnicity.
  • Not all hospitalizations and readmissions are included in the database.
  • NRD does not identify unique patients across different years
  • Administrative database lacking clinical data such as ejection fraction, unable to differentiate HFpEF and HFrEF
  • NRD does not include patient race or ethnicity
  • Not all hospitalizations and readmissions are included in the database

Cite This Study

Agarwal et al. (2021) conducted a cohort in Heart Failure (n=8,273,270). Heart Failure hospitalization was evaluated on Crude rates of primary heart failure hospitalizations and readmissions. Primary heart failure hospitalization rates increased from 4.2 per 1000 US adults in 2014 to 4.9 in 2017 after a decline from 4.4 in 2010 to 4.1 in 2013.

synapsesocial.com/papers/697817f9f226c9e734a25b6ehttps://doi.org/10.1001/jamacardio.2020.7472
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