Short-term trends in heart failure-related hospitalizations in a high-risk state

Sampson, Uchechukwu K. A., Husaini, Baqar A., Cain, Van A., Samad, Zahid, Jahangir, Eiman C. and Levine, Robert S. (2013) Short-term trends in heart failure-related hospitalizations in a high-risk state. Southern Medical Journal, 106 2: 147-154. doi:10.1097/SMJ.0b013e3182804fa4


Author Sampson, Uchechukwu K. A.
Husaini, Baqar A.
Cain, Van A.
Samad, Zahid
Jahangir, Eiman C.
Levine, Robert S.
Title Short-term trends in heart failure-related hospitalizations in a high-risk state
Journal name Southern Medical Journal   Check publisher's open access policy
ISSN 0038-4348
1541-8243
Publication date 2013-02
Year available 2013
Sub-type Article (original research)
DOI 10.1097/SMJ.0b013e3182804fa4
Open Access Status Not yet assessed
Volume 106
Issue 2
Start page 147
End page 154
Total pages 8
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Objectives: We sought to determine whether there are signs of improvement in the rates of heart failure (HF) hospitalizations given the recent reports of improvement in national trends.

Methods: HF admissions data from the Tennessee Hospital Discharge Data System were analyzed.

Results: Hospitalization for primary diagnosis of HF (HFPD) in adults (aged 20 years old or older) decreased from 4.5% in 2006 to 4.2% in 2008. Similarly, age-adjusted HF hospitalization (per 10,000 population) declined by 19.1% (from 45.5 in 2006 to 36.8 in 2008). The age-adjusted rates remain higher among blacks than whites and higher among men than women. Notably, the rate ratio of black-to-white men ages 20 to 34 years admitted with HFPD increased from 8.5 in 2006 to 11.1 in 2008; similarly, the adjusted odds ratios for HFPD were 4.75 (95% confidence interval 3.29-6.86) and 5.61 (95% confidence interval 3.70-8.49), respectively. There was, however, a significant improvement in odds ratio for HF rates among young black women, as evidenced by a decrease from 4.60 to 3.97 (aged 20-34 years) and 4.21 to 3.12 (aged 35-44 years) between 2006 and 2008, respectively. Among patients aged 20 to 34 and 35 to 44 years, hypertension was the strongest independent predictor for HF. Diabetes and myocardial infarction emerged as predictors for HF among patients aged 35 years and older.

Conclusions: The overall rate of HF hospitalization declined during the period surveyed, but the persistent disproportionate involvement of blacks with evidence of worsening among younger black men, requires close attention.Copyright
Keyword Blacks
Disparities
Heart failure
Prevention
Risk factors
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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