Key result
Hospitalization rates for congestive heart failure among US adults aged 35 to 64 years rose significantly between 1995 and 2004, particularly in the West (10.3 to 17.0 per 10,000; P<.001) and South.
Observational
Yes
p-value: p=<.001
Between 1995 and 2004, heart failure hospitalizations increased significantly among middle-aged adults in the US, with regional disparities associated with socioeconomic and healthcare access factors.
Rising HF hospitalizations in middle-aged adults warrant surveillance; leaves open socioeconomic drivers of regional disparities.
This study used data from the National Hospital Discharge Survey to examine secular trends and regional variation in hospitalization rates for congestive heart failure. The hospitalization rate for congestive heart failure rose significantly between 1995 and 2004 for adults aged 35 to 64 years. This trend was particularly marked in the West region (from 10.3 per 10,000 population in 1995 to 17.0 per 10,000 population in 2004; P<.001) and the South region (from 21.9 per 10,000 population in 1995 to 27.6 per 10,000 population in 2004; P<.001). The regional variations for congestive heart failure hospitalization among adults aged 35 to 64 years were associated with primary care physicians per 10,000 population, regional income level, and the proportion of Medicare payment.
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Zhang et al. (2008) conducted an observational in Congestive heart failure. Secular trends and regional variation was evaluated on Hospitalization rate for congestive heart failure (p=<.001). Hospitalization rates for congestive heart failure among US adults aged 35 to 64 years rose significantly between 1995 and 2004, particularly in the West (10.3 to 17.0 per 10,000; P<.001) and South.
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