Regional Variation in Mortality, Length of Stay, Cost, and Discharge Disposition Among Patients Admitted for Heart Failure in the United States

Regional Variation in Mortality, Length of Stay, Cost, and Discharge Disposition Among Patients Admitted for Heart Failure in the United States
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DOI:
10.1016/j.amjcard.2017.05.058
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发表时间:
2017-09-01
影响因子:
2.8
通讯作者:
Levine, Diane
Levine, Diane
中科院分区:
医学3区
文献类型:
--
作者:
Akintoye, Emmanuel;Briasoulis, Alexandros;Levine, Diane

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这项研究的目的是为美国心力衰竭(HF)患者住院结果的地区差异提供当代证据。使用国家住院患者样本,我们比较了美国4个人口普查地区的初次入院心力衰竭患者(2013年至2014年)的住院结果。总体而言,在研究期间,美国估计有190万人因HE住院。死亡率为3%,平均住院时间为5.3天,住院费用中位数为7248美元,常规出院率为51%。所有终点的区域差异显著(p
The objective of the study was to provide contemporary evidence on regional variation in hospitalization outcomes in patients with heart failure (HF) in the United States. Using the National Inpatient Sample, we compared hospitalization outcomes among primary HF admissions (2013 to 2014) among the 4 Census regions of the United States. Overall, an estimated 1.9 million HE hospitalizations occurred in the United States over the study period. Mortality rate was 3%, the mean length of stay was 5.3 days, the median cost of hospitalization was US$7,248, and the rate of routine home discharge' was 51%. There was a significant regional variation for all end points (p