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. 2011 Jun;34(6):389-94.
doi: 10.1002/clc.20895. Epub 2011 Apr 27.

Seasonal variation in heart failure hospitalization

Massimo Gallerani  1 , Benedetta Boari, Fabio Manfredini, Roberto Manfredini
Affiliations

Seasonal variation in heart failure hospitalization

Massimo Gallerani et al. Clin Cardiol. 2011 Jun.

Abstract

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.

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Figures

Figure 1
Figure 1
Seasonal distribution of heart failure hospital admissions (total cases) at the Ferrara Hospital, years 2002–2009.
Figure 2
Figure 2
Monthly distribution of average number of hospital admission for heart failure (total cases) at the Ferrara Hospital, years 2002–2009.
Figure 3
Figure 3
Hypotheses about pathways between winter and heart failure (HF). Abbreviation: BMI, body mass index.
See this image and copyright information in PMC

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