Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Mar 12;61(10):1078-88.
doi: 10.1016/j.jacc.2012.11.057.

National trends in heart failure hospital stay rates, 2001 to 2009

Jersey Chen  1 , Kumar Dharmarajan, Yongfei Wang, Harlan M Krumholz
Affiliations

National trends in heart failure hospital stay rates, 2001 to 2009

Jersey Chen et al. J Am Coll Cardiol. .

Abstract

Objectives: This study sought to analyze recent trends over time in heart failure (HF) hospital stay rates, length of stay (LOS), and in-hospital mortality by age groups with a large national dataset of U.S. hospital discharges.

Background: Heart failure hospital stay rates, LOS, and mortality have fallen over the past decade for older Medicare beneficiaries, but whether this holds true for younger adults is unknown.

Methods: From the National Inpatient Sample, we calculated HF hospital stay rates, LOS, and in-hospital mortality from 2001 to 2009 with survey data analysis techniques.

Results: Hospital stays (n = 1,686,089) with a primary discharge diagnosis of HF were identified from National Inpatient Sample data between 2001 and 2009. The overall national hospital stay rate decreased from 633 to 463 hospital stays/100,000 persons, (-26.9%, p-for-trend <0.001). However, statistically significant declines (p < 0.001) were only observed for patients 55 to 64 years of age (-36.5%) 65 to 74 years (-37.4%), and ≥ 75 years (-28.3%) but not for patients 18 to 44 years of age (-12.8%, p = 0.57) or 45 to 55 years (-16.2%, p = 0.04). Statistically significant declines in LOS were only observed for patients 65 years of age and older. Overall in-hospital mortality fell from 4.5% to 3.3%, a relative decline of -27.4%, (p-for-trend <0.001), but patients 18 to 44 years of age did not exhibit a significant decline (-8.1%, p-for-trend = 0.18). In secondary analyses significant declines in HF hospital stay rate over time were observed for white men, white women, and black women but not for black men (-9.5%, p-for-trend = 0.43).

Conclusions: Younger patients have not experienced comparable declines in HF hospital stay, LOS, and in-hospital mortality as older patients. Black men remain a vulnerable population for HF hospital stay.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Distribution health insurance status, by age≥65y and age<65y
Figure 2
Figure 2
Heart failure hospitalization rate by age category, per 100,000 (2001–2009)
Figure 3
Figure 3
In-hospital survival for HF hospitalization, by hospital day
See this image and copyright information in PMC

References

    1. Chen J, Normand S-LT, Wang Y, Krumholz HM. National and Regional Trends in Heart Failure Hospitalization and Mortality Rates for Medicare Beneficiaries, 1998–2008. JAMA: The Journal of the American Medical Association. 2011;306:1669–1678. - PMC - PubMed
    1. Bibbins-Domingo K, Pletcher MJ, Lin F, et al. Racial differences in incident heart failure among young adults. N Engl J Med. 2009;360:1179–1190. - PMC - PubMed
    1. Cody RJ, Torre S, Clark M, Pondolfino K. Age-Related Hemodynamic, Renal, and Hormonal Differences Among Patients With Congestive Heart Failure. Arch Intern Med. 1989;149:1023–1028. - PubMed
    1. He J, Ogden LG, Bazzano LA, Vupputuri S, Loria C, Whelton PK. Risk Factors for Congestive Heart Failure in US Men and Women: NHANES I Epidemiologic Follow-up Study. Arch Intern Med. 2001;161:996–1002. - PubMed
    1. Owan TE, Hodge DO, Herges RM, Jacobsen SJ, Roger VL, Redfield MM. Trends in Prevalence and Outcome of Heart Failure with Preserved Ejection Fraction. New England Journal of Medicine. 2006;355:251–259. - PubMed

Publication types

MeSH terms