Trends in hospitalizations for heart failure, acute myocardial infarction, and stroke in the United States from 2004-2018
American Heart Journal Sep 30, 2021
Salah HM, Minhas AMK, Khan MS, et al. - Analyzing trends in hospitalizations for heart failure (HF), acute myocardial infarction (AMI), and stroke in the United States (US), it was found that a progressive increase in hospitalizations for HF has happened since 2013, which is in contrast to the trend of AMI and stroke hospitalizations. Reduction in in-hospital mortality for HF, AMI, and stroke hospitalizations has been observed from 2004 to 2018.
This is a retrospective study of the National Inpatient Sample weighted data from 2004 to 2018, including hospitalized adults ≥18 years with a primary discharge diagnosis of HF, AMI, or stroke.
For HF, AMI, and stroke, there occurred 33.4 million hospitalizations, with most being for HF (48%).
Following an initial fall in HF hospitalizations, a progressive increase in HF hospitalizations occurred between 2013 and 2018 (4.0/1000 US adults in 2014 to 4.9 hospitalizations/1,000 US adults in 2018).
AMI hospitalization reduced (3.1 hospitalizations/1000 US adults in 2004 to 2.5 hospitalizations/1,000 US adults in 2010), and remained stable between 2010-2018.
For stroke hospitalization, a small but significant increase was evident after 2011 that reached 2.5 hospitalizations/1,000 US adults in 2018.
For HF, AMI, and stroke hospitalizations, reduction in adjusted length of stay and In-hospital mortality was observed.
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