Manyoo A Agarwal1, Gregg C Fonarow1,2,3, Boback Ziaeian1,4. 1. Division of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California. 2. Ahmanson-UCLA Cardiomyopathy Center, University of California, Los Angeles Medical Center, Los Angeles. 3. Associate Editor for Health Care Quality and Guidelines, JAMA Cardiology. 4. Division of Cardiology, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Abstract
Importance: Previous studies have described the secular trends of overall heart failure (HF) hospitalizations, but the literature describing the national trends of unique index hospitalizations and readmission visits for the primary management of HF is lacking. Objectives: To examine contemporary overall and sex-specific trends of unique primary HF (grouped by number of visits for the same patient in a given year) and 30-day readmission visits in a large national US administrative database from 2010 to 2017. Design, Setting, and Participants: This cohort study used data from all adult hospitalizations in the Nationwide Readmission Database from January 1, 2010, to December 31, 2017, with a primary diagnosis of HF. Data analyses were conducted from March to November 2020. Exposures: Admission for a primary diagnosis of HF at discharge. Main Outcomes and Measures: Unique and overall hospitalizations with a primary diagnosis of HF and postdischarge readmissions. Unique primary HF hospitalizations were grouped by number of visits for the same patient in a given year. Results: There were 8 273 270 primary HF hospitalizations with a single primary HF admission present in 5 092 626 unique patients, and 1 269 109 had 2 or more HF hospitalizations. The mean age was 72.1 (95% CI, 72.0-72.3) years, and 48.9% (95% CI, 48.7-49.0) were women. The primary HF hospitalization rates per 1000 US adults declined from 4.4 in 2010 to 4.1 in 2013 and then increased from 4.2 in 2014 to 4.9 in 2017. The rates per 1000 US adults for postdischarge HF readmissions (1.0 in 2010 to 0.9 in 2014 to 1.1 in 2017) and all-cause 30-day readmissions (0.8 in 2010 to 0.7 in 2014 to 0.9 in 2017) had similar trends. Conclusions and Relevance: In this analysis of a nationally representative administrative data set, for primary HF admissions, crude rates of overall and unique patient hospitalizations declined from 2010 to 2014 followed by an increase from 2014 to 2017. Additionally, readmission visits after index HF hospitalizations followed a similar trend. Future studies are needed to verify these findings to improve policies for HF management.
Importance: Previous studies have described the secular trends of overall heart failure (HF) hospitalizations, but the literature describing the national trends of unique index hospitalizations and readmission visits for the primary management of HF is lacking. Objectives: To examine contemporary overall and sex-specific trends of unique primary HF (grouped by number of visits for the same patient in a given year) and 30-day readmission visits in a large national US administrative database from 2010 to 2017. Design, Setting, and Participants: This cohort study used data from all adult hospitalizations in the Nationwide Readmission Database from January 1, 2010, to December 31, 2017, with a primary diagnosis of HF. Data analyses were conducted from March to November 2020. Exposures: Admission for a primary diagnosis of HF at discharge. Main Outcomes and Measures: Unique and overall hospitalizations with a primary diagnosis of HF and postdischarge readmissions. Unique primary HF hospitalizations were grouped by number of visits for the same patient in a given year. Results: There were 8 273 270 primary HF hospitalizations with a single primary HF admission present in 5 092 626 unique patients, and 1 269 109 had 2 or more HF hospitalizations. The mean age was 72.1 (95% CI, 72.0-72.3) years, and 48.9% (95% CI, 48.7-49.0) were women. The primary HF hospitalization rates per 1000 US adults declined from 4.4 in 2010 to 4.1 in 2013 and then increased from 4.2 in 2014 to 4.9 in 2017. The rates per 1000 US adults for postdischarge HF readmissions (1.0 in 2010 to 0.9 in 2014 to 1.1 in 2017) and all-cause 30-day readmissions (0.8 in 2010 to 0.7 in 2014 to 0.9 in 2017) had similar trends. Conclusions and Relevance: In this analysis of a nationally representative administrative data set, for primary HF admissions, crude rates of overall and unique patient hospitalizations declined from 2010 to 2014 followed by an increase from 2014 to 2017. Additionally, readmission visits after index HF hospitalizations followed a similar trend. Future studies are needed to verify these findings to improve policies for HF management.
Authors: Madeline R Sterling; Joanna Bryan Ringel; Laura C Pinheiro; Monika M Safford; Emily B Levitan; Erica Phillips; Todd M Brown; Oanh K Nguyen; Parag Goyal Journal: Circ Heart Fail Date: 2021-12-06 Impact factor: 8.790
Authors: Austin S Kilaru; Nicholas Illenberger; Zachary F Meisel; Peter W Groeneveld; Manqing Liu; Angira Mondal; Nandita Mitra; Raina M Merchant Journal: Circ Cardiovasc Qual Outcomes Date: 2022-09-08
Authors: Leah Rethy; Thanh-Huyen T Vu; Nilay S Shah; Mercedes R Carnethon; Tara Lagu; Mark D Huffman; Clyde W Yancy; Donald M Lloyd-Jones; Sadiya S Khan Journal: Circ Heart Fail Date: 2022-04-28 Impact factor: 10.447
Authors: Husam M Salah; Abdul Mannan Khan Minhas; Muhammad Shahzeb Khan; Ambarish Pandey; Erin D Michos; Robert J Mentz; Marat Fudim Journal: Eur Heart J Open Date: 2021-06-15
Authors: Husam M Salah; Abdul Mannan Khan Minhas; Muhammad Shahzeb Khan; Safi U Khan; Andrew P Ambrosy; Vanessa Blumer; Muthiah Vaduganathan; Stephen J Greene; Ambarish Pandey; Marat Fudim Journal: ESC Heart Fail Date: 2022-01-30
Authors: Salik Nazir; Abdul Mannan Khan Minhas; Ishan S Kamat; Robert W Ariss; George V Moukarbel; Juan Carlos Plana Gomez; Savitri Fedson; Ajith Nair; Biykem Bozkurt; Hani Jneid Journal: Am J Med Date: 2021-06-30 Impact factor: 5.928