August 19, 2014Circulation
Trends in Hospitalizations and Outcomes for Acute Cardiovascular Disease and Stroke, 1999–2011
Key result
Secular trends from 1999 to 2011 show ~38% fewer MI hospitalizations alongside HF and stroke declines.
Population
Fee-for-Service Medicare patients ≥65 years of age hospitalized with unstable angina, myocardial infarction…
Design
Cohort
Follow-up
30 days and 1 year
Authors
Discussion
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Implication
May reflect prevention gains in Medicare patients; leaves open causal drivers and generalizability.
Study Design
Type
Observational
Multicenter
Yes
Structured PICO
P
Population
Fee-for-Service Medicare patients ≥65 years of age hospitalized with unstable angina, myocardial infarction, heart failure, ischemic stroke, and all other conditions from 1999 through 2011
O
Outcome
Trends in adjusted rates of hospitalization per patient-year, 30-day mortality, 30-day readmission, and 1-year mortalityhard clinical
Hospitalizations and mortality for acute cardiovascular diseases and stroke declined significantly among Medicare beneficiaries from 1999 to 2011.
Cite This Study
Krumholz et al. (2014) conducted an observational in Acute cardiovascular disease and stroke. Secular trends from 1999 to 2011 resulted in reduced hospitalization rates for myocardial infarction (38.0% decline), unstable angina (83.8%), heart failure (30.5%), and stroke (33.6%).