Title | Temporal Trends in Hospitalization for Acute Decompensated Heart Failure in the United States, 1998-2011. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Agarwal SK, Wruck L, Quibrera M, Matsushita K, Loehr LR, Chang PP, Rosamond WD, Wright J, Heiss G |
Secondary Authors | Coresh JJ |
Journal | Am J Epidemiol |
Volume | 183 |
Issue | 5 |
Pagination | 462-70 |
Date Published | 2016 Mar 01 |
ISSN | 1476-6256 |
Keywords | Acute Disease, Aged, Cohort Studies, Female, Heart Failure, Hospitalization, Humans, International Classification of Diseases, Male, Maryland, Middle Aged, Minnesota, Mississippi, North Carolina, Prospective Studies, Residence Characteristics |
Abstract | Estimates of the numbers and rates of acute decompensated heart failure (ADHF) hospitalization are central to understanding health-care utilization and efforts to improve patient care. We comprehensively estimated the frequency, rate, and trends of ADHF hospitalization in the United States. Based on Atherosclerosis Risk in Communities (ARIC) Study surveillance adjudicating 12,450 eligible hospitalizations during 2005-2010, we developed prediction models for ADHF separately for 3 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code 428 discharge diagnosis groups: 428 primary, 428 nonprimary, or 428 absent. We applied the models to data from the National Inpatient Sample (11.5 million hospitalizations of persons aged ≥55 years with eligible ICD-9-CM codes), an all-payer, 20% probability sample of US community hospitals. The average estimated number of ADHF hospitalizations per year was 1.76 million (428 primary, 0.80 million; 428 nonprimary, 0.83 million; 428 absent, 0.13 million). During 1998-2004, the rate of ADHF hospitalization increased by 2.0%/year (95% confidence interval (CI): 1.8, 2.5) versus a 1.4%/year (95% CI: 0.8, 2.1) increase in code 428 primary hospitalizations (P |
DOI | 10.1093/aje/kwv455 |
Alternate Journal | Am J Epidemiol |
PubMed ID | 26895710 |
PubMed Central ID | PMC4772439 |
Grant List | N01HC55020 / HL / NHLBI NIH HHS / United States N01HC55018 / HL / NHLBI NIH HHS / United States N01-HC-55022 / HC / NHLBI NIH HHS / United States N01-HC-55016 / HC / NHLBI NIH HHS / United States T32 HL007024 / HL / NHLBI NIH HHS / United States N01HC55022 / HL / NHLBI NIH HHS / United States N01-HC-55021 / HC / NHLBI NIH HHS / United States N01HC55015 / HL / NHLBI NIH HHS / United States N01-HC-55019 / HC / NHLBI NIH HHS / United States N01-HC-55015 / HC / NHLBI NIH HHS / United States N01-HC-55020 / HC / NHLBI NIH HHS / United States N01HC55016 / HL / NHLBI NIH HHS / United States T32HL007024 / HL / NHLBI NIH HHS / United States N01HC55019 / HL / NHLBI NIH HHS / United States N01-HC-55018 / HC / NHLBI NIH HHS / United States N01HC55021 / HL / NHLBI NIH HHS / United States |