Trends in hospitalizations for heart failure, acute myocardial infarction, and stroke in the United States from 2004 to 2018
Trends in hospitalizations for heart failure, acute myocardial infarction, and stroke in the United States from 2004 to 2018
复制标题
DOI：
10.1016/j.ahj.2021.09.009
复制
发表时间：
2021-10-21
影响因子：
4.8
通讯作者：
Fudim, Marat
中科院分区：
文献类型：
--
作者：
Salah, Husam M.;Minhas, Abdul Mannan Khan;Fudim, Marat
方法和结果回顾性分析2004年1月1日至2018年12月31日期间的全国住院患者样本加权数据，其中包括年龄≥ 18岁的住院成人，主要出院诊断为HF，AMI，或中风使用国际疾病分类-9/10行政代码。主要结果是每1000名美国成年人因HF、AMI和卒中住院、住院时间和住院死亡率。有3340万人因HF、AMI和卒中住院，其中大多数是HF（48%）。在HF住院率最初下降后，（2004年为5.3例住院/1000名美国成年人，2013年为4例住院/1000名美国成年人，P < .001），2013年至2018年期间，HF住院率逐渐增加（2013年每1000名美国成年人中有4.0例住院，2018年每1000名美国成年人中有4.9例住院; P < .001）。AMI住院率下降（2004年为3.1例住院/1000名美国成年人，2010年为2.5例住院/1000名美国成年人，P <0.001），并在2010年至2018年期间保持稳定。2004年至2011年，因卒中住院的人数没有显著变化（2004年每1000名美国成年人住院2.3次，2011年每1000名美国成年人住院2.3次，P = 0.614）;然而，2011年后，卒中住院率小幅但显著增加，2018年达到2.5例住院/1000名美国成年人。调整后的住院时间和住院死亡率降低了HF，AMI和中风hospitalizations.Conclusions相比，AMI和中风住院的趋势，HF住院治疗的逐步增加，自2013年以来已经发生。从2004年到2018年，HF、AMI和卒中住院的住院死亡率有所下降。
Aim To determine the trends in hospitalizations for heart failure (HF), acute myocardial infarction (AMI), and stroke in the United States (US).Method and Results A retrospective analysis of the National Inpatient Sample weighted data between January 1, 2004 and December 31, 2018 which included hospitalized adults >= 18 years with a primary discharge diagnosis of HF, AMI, or stroke using International Classification of Diseases-9/10 administrative codes. Main outcomes were hospitalization for HF, AMI, and stroke per 1000 United States adults, length of stay, and in-hospital mortality. There were 33.4 million hospitalizations for HF, AMI, and stroke, with most being for HF (48%). After the initial decline in HF hospitalizations (5.3 hospitalizations/1000 US adults in 2004 to 4 hospitalizations/1000 US adults in 2013, P < .001), there was a progressive increase in HF hospitalizations between 2013 and 2018 (4.0 hospitalizations/1000 US adults in 2013 to 4.9 hospitalizations/1000 US adults in 2018; P < .001). Hospitalization for AMI decreased (3.1 hospitalizations/1000 US adults in 2004 to 2.5 hospitalizations/1000 US adults in 2010, P < .001) and remained stable between 2010 and 2018. There was no significant change for hospitalization for stroke between 2004 and 2011 (2.3 hospitalizations/1000 US adults in 2004 vs 2.3 hospitalizations per 1000 US adults in 2011, P = .614); however, there was a small but significant increase in hospitalization for stroke after 2011 that reached 2.5 hospitalizations/1000 US adults in 2018. Adjusted length of stay and in-hospital mortality decreased for HF, AMI, and stroke hospitalizations.Conclusions In contrast to the trend of AMI and stroke hospitalizations, a progressive increase in hospitalizations for HF has occurred since 2013. From 2004 to 2018, in-hospital mortality has decreased for HF, AMI, and stroke hospitalizations.