Abstract 13840: National and Regional Trends in Heart Failure Hospitalization and Mortality Rates for Medicare Beneficiaries: 1998-2008
Abstract 13840: National and Regional Trends in Heart Failure Hospitalization and Mortality Rates for Medicare Beneficiaries: 1998-2008
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发表时间：
2011-11
期刊：
影响因子：
37.8
通讯作者：
Jersey Chen;S. Normand;Yun Wang;H. Krumholz
中科院分区：
文献类型：
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作者：
Jersey Chen;S. Normand;Yun Wang;H. Krumholz
背景资料：目前尚不清楚最近缺血性心脏病及其危险因素的下降是否伴随着心力衰竭（HF）住院率和死亡率的下降。我们试图检查全国和美国各州/地区HF住院率和1年死亡率的变化。研究方法：确定了1998年至2008年期间在美国和波多黎各急性护理医院住院的所有按服务收费的医疗保险A部分受益人，其主要出院诊断代码为HF。使用分层回归模型，以虚拟指标变量代表每年，开发风险调整的HF住院率和1年死亡率。结果如下：风险调整的HF住院率下降了29.5%，从1998年的2，845/100，000人-年下降到2008年的2，007/100，000人-年（p结论：1998年至2008年，总体HF住院率大幅下降，但黑人男性的住院率较低，1年死亡率仍然较高。HF住院率和1年死亡率的变化在各州之间不均衡。
Background: Whether recent declines in ischemic heart disease and its risk factors have been accompanied by declines in heart failure (HF) hospitalization and mortality is not known. We sought to examine changes in HF hospitalization rate and 1-year mortality rate, nationally and by U.S. state/territory. Methods: All fee-for-service Medicare Part A beneficiaries hospitalized in acute care hospitals with a principal discharge diagnosis code for HF between 1998 and 2008 in the U.S. and Puerto Rico were identified. Risk-adjusted HF hospitalization and 1-year mortality rates were developed using hierarchical regression models with dummy indicator variables representing each year. Results: The risk-adjusted HF hospitalization rate declined by 29.5%, from 2,845/100,000 person-years in 1998 to 2,007/100,000 person-years in 2008 (p Conclusion: The overall HF hospitalization rate declined substantially from 1998 to 2008, but at a lower rate for black men, and 1-year mortality remains high. Changes in HF hospitalization and 1-year mortality rates were uneven across states.