BACKGROUND: A seasonal variation has been reported for occurrence of acute cardiovascular events, such as myocardial infarction, sudden death, and rupture/dissection of aortic aneurysms. HYPOTHESIS: The aim of this study was to determine whether a seasonal variation exists for heart failure (HF) hospitalization. METHODS: The study included all cases of HF admissions to Ferrara Hospital between January 2002 and December 2009. The sample was divided into subgroups by gender, age, cardiovascular risk factors, patients' outcome, and order of ICD-9 codes (first diagnosis, accessory diagnosis). On the basis of date of admission, cases have been analyzed for seasonal variation and annual frequency. For seasonal analysis, monthly cases were categorized into four 3-month intervals by seasons. Moreover, monthly admissions have been also adjusted for number of days, and the average number of admissions per month has been used. RESULTS: The database included 15,954 patients with the ICD-9-CM codes of HF (420-429). Hospital admissions for HF were most frequent in winter (28.4%) and least in summer (20.4%). Chronobiological analysis yielded a significant peak in January for total cases and all subgroups considered. No differences were found for subgroups by gender, age, fatal cases, presence of hypertension and diabetes mellitus, patients' outcome, and order of ICD-9 codes (first diagnosis, accessory diagnosis). CONCLUSIONS: A seasonal periodicity for HF hospitalization was demonstrated, with a peak in winter months, independent of gender, age, major cardiovascular risk factor, and patients' outcome. These data could be useful for practitioners to improve causative prevention measures, therapeutic management, and educational strategies.
BACKGROUND: A seasonal variation has been reported for occurrence of acute cardiovascular events, such as myocardial infarction, sudden death, and rupture/dissection of aortic aneurysms. HYPOTHESIS: The aim of this study was to determine whether a seasonal variation exists for heart failure (HF) hospitalization. METHODS: The study included all cases of HF admissions to Ferrara Hospital between January 2002 and December 2009. The sample was divided into subgroups by gender, age, cardiovascular risk factors, patients' outcome, and order of ICD-9 codes (first diagnosis, accessory diagnosis). On the basis of date of admission, cases have been analyzed for seasonal variation and annual frequency. For seasonal analysis, monthly cases were categorized into four 3-month intervals by seasons. Moreover, monthly admissions have been also adjusted for number of days, and the average number of admissions per month has been used. RESULTS: The database included 15,954 patients with the ICD-9-CM codes of HF (420-429). Hospital admissions for HF were most frequent in winter (28.4%) and least in summer (20.4%). Chronobiological analysis yielded a significant peak in January for total cases and all subgroups considered. No differences were found for subgroups by gender, age, fatal cases, presence of hypertension and diabetes mellitus, patients' outcome, and order of ICD-9 codes (first diagnosis, accessory diagnosis). CONCLUSIONS: A seasonal periodicity for HF hospitalization was demonstrated, with a peak in winter months, independent of gender, age, major cardiovascular risk factor, and patients' outcome. These data could be useful for practitioners to improve causative prevention measures, therapeutic management, and educational strategies.
Authors: Ahmed A Kolkailah; Marwan S Abougergi; Parth V Desai; Axi Patel; Setri Fugar; Alexis K Okoh; Ahmed Al-Ogaili; Sameer A Hirji; Tsuyoshi Kaneko; Annabelle Santos Volgman; Rami Doukky; Justin L Grodin; Darren K McGuire Journal: Am Heart J Plus Date: 2021-11-27
Authors: Lucrecia María Burgos; Lorena Villalba; Rita María Paula Miranda; Andreína Gil Ramírez; Fernando Botto; Mirta Diez Journal: Int J Heart Fail Date: 2021-03-29
Authors: Heidi Hintsala; Tuomas V Kenttä; Mikko Tulppo; Antti Kiviniemi; Heikki V Huikuri; Matti Mäntysaari; Sirkka Keinänen-Kiukaannemi; Risto Bloigu; Karl-Heinz Herzig; Riitta Antikainen; Hannu Rintamäki; Jouni J K Jaakkola; Tiina M Ikäheimo Journal: PLoS One Date: 2014-07-01 Impact factor: 3.240
Authors: Anette Luther Christensen; Lars Hvilsted Rasmussen; Michael G Baker; Gregory Y H Lip; Claus Dethlefsen; Torben Bjerregaard Larsen Journal: BMJ Open Date: 2012-08-24 Impact factor: 2.692