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Am Heart J. 1999 Feb;137(2):352-60.

Hospitalization of patients with heart failure: National Hospital Discharge Survey, 1985 to 1995.

Author information

1
Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, USA.

Abstract

BACKGROUND:

In the United States, heart failure has emerged as the leading first-listed diagnosis among hospitalized older adults.

METHODS:

The number and prevalence of hospitalizations, procedure use, and discharge outcomes for men and women aged >/=35 years hospitalized with heart failure were estimated from National Hospital Discharge Survey data for the years 1985 through 1995.

RESULTS:

In 10 years, the number of hospitalizations increased from 577,000 to 871,000 for a first-listed diagnosis and from 1.7 to 2.6 million for any diagnosis of heart failure. Almost 78% of men and 85% of women hospitalized with heart failure were aged >/=65 years. Among persons hospitalized with any diagnosis of heart failure, in-hospital mortality rate decreased from 1985 to 1995 whereas prevalence of discharge to long-term care increased. In 1995, 67% of male patients were discharged home, 12% were discharged to long-term care, and 8% died during hospitalization; the corresponding values for female patients were 58%, 21%, and 8%. Men had twice the prevalence of invasive cardiac procedures as did women during hospitalization.

CONCLUSIONS:

The growing burden of heart failure can be expected to increase during the next decade unless innovative interventions and primary and secondary prevention strategies are implemented.

PMID:
9924171
DOI:
10.1053/hj.1999.v137.95495
[Indexed for MEDLINE]

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