Trends in Hospital Admissions for Systolic and Diastolic Heart Failure in the United States Between 2004 and 2017
Section snippets
Methods
The Nationwide Inpatient Sample (NIS) database is the single largest all-payer database of hospital discharges in the United States. It is a part of the Healthcare Quality and Utilization Project (HCUP) and sponsored by the Agency for Healthcare Research and Quality.7 The NIS is designed to represent a 20% stratified sample of community hospitals across the United States.7,8 The database is well-suited to identify patterns and national trends of health care costs and outcomes of specific
Results
A total of 6,403,626 HF hospitalizations were returned by our search criteria and included in this analysis. Of these, 60.3% were classified as systolic HF, while 39.7% were classified as diastolic HF. The overall characteristics of these cohorts are listed in Table 1. Patients hospitalized with diastolic HF were older, with a larger proportion being female and White, whereas Black patients made up a larger proportion of patients with systolic HF. Hypertension and obesity were more prevalent in
Discussion
In this nationally representative sample of systolic and/or diastolic HF hospitalizations in the United States from 2004 and 2017, there were approximately 60% admissions for systolic HF and 40% for diastolic HF. Recent publications have outlined an increase in the incidence of diastolic HF and a decrease in systolic HF over time, with an associated increase in the rate of hospitalization for diastolic HF.11, 12, 13, 14, 15 We found that even though the incidence of diastolic HF may be
Disclosures
The authors have no conflicts of interest to declare.
References (20)
- et al.
Outcomes of patients with anemia and acute decompensated heart failure with preserved versus reduced ejection fraction (from the ARIC study community surveillance)
Am J Cardiol
(2014) - et al.
Heart failure-associated hospitalizations in the United States
J Am Coll Cardiol
(2013) - et al.
National trends in heart failure hospital stay rates, 2001 to 2009
J Am Coll Cardiol
(2013) - et al.
National trends in utilization, mortality, complications, and cost of care after left ventricular assist device implantation from 2005 to 2011
Ann Thorac Surg
(2016) - et al.
Incidence and survival of hospitalized acute decompensated heart failure in four US communities (from the Atherosclerosis Risk in Communities Study)
Am J Cardiol
(2014) - et al.
Temporal trends in the incidence of and mortality associated With heart failure With preserved and reduced ejection fraction
JACC Heart Fail
(2018) - et al.
Improving survival in cardiogenic shock: is Impella the answer?
Am J Med
(2018) - et al.
National differences in trends for heart failure hospitalizations by sex and race/ethnicity
Circ Cardiovasc Qual Outcomes
(2017) - et al.
Characteristics of hospitalizations for heart failure with preserved ejection fraction
Am J Med
(2016) - et al.
Spironolactone for heart failure with preserved ejection fraction
N Engl J Med
(2014)
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