Heart failure–associated hospitalizations in the United States.
Heart failure–associated hospitalizations in the United States.
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DOI：
10.1016/j.jacc.2012.12.038
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发表时间：
2013-03-26
影响因子：
24
通讯作者：
Katz, Stuart
中科院分区：
文献类型：
--
作者：
Blecker, Saul;Paul, Margaret;Taksler, Glen;Ogedegbe, Gbenga;Katz, Stuart
我们试图描述以心力衰竭作为主要或次要诊断的住院时间趋势。心力衰竭患者经常因心力衰竭和其他原因而入院。使用全国住院患者样本（NIS），我们评估了2001年至2009年心力衰竭住院的趋势。根据出院诊断中心力衰竭的位置，将住院分为原发性或继发性心力衰竭住院。国家估计数是使用国家独立指数的抽样权重计算的。年龄和性别标准化的住院率是通过将特定年份的住院人数除以美国人口并使用直接标准化来确定的。美国原发性心力衰竭住院人数从2001年的1，137，944人下降到2009年的1，086，685人，而同期继发性心力衰竭住院人数从2，753，793人增加到3，158，179人。2001-2009年间，年龄和性别调整后的原发性心力衰竭住院率稳步下降，从每10万人566例降至468例。继发性心力衰竭住院率最初从2001-2006年的1370/10万增加到1476/10万，然后在2009年下降到1359/10万。继发性心力衰竭住院的常见主要诊断包括肺部疾病、肾衰竭和感染。虽然原发性心力衰竭住院率下降，但在过去十年中，继发性心力衰竭住院率保持稳定。降低心力衰竭患者住院治疗的高负担的策略应包括考虑心脏疾病和非心脏疾病。
We sought to characterize temporal trends in hospitalizations with heart failure as a primary or secondary diagnosis. Heart failure patients are frequently admitted for both heart failure and other causes. Using the Nationwide Inpatient Sample (NIS), we evaluated trends in heart failure hospitalizations between 2001 and 2009. Hospitalizations were categorized as either primary or secondary heart failure hospitalizations based the location of heart failure in the discharge diagnosis. National estimates were calculated using the sampling weights of the NIS. Age- and gender-standardized hospitalization rates were determined by dividing the number of hospitalizations by the United States population in a given year and using direct standardization. The number of primary heart failure hospitalizations in the United States decreased from 1,137,944 in 2001 to 1,086,685 in 2009, while secondary heart failure hospitalizations increased from 2,753,793 to 3,158,179 over the same period. Age- and gender-adjusted rates of primary heart failure hospitalizations decreased steadily over 2001–2009, from 566 to 468 per 100,000 people. Rates of secondary heart failure hospitalizations initially increased, from 1370 to 1476 per 100,000 from 2001–2006, then decreased to 1359 per 100,000 in 2009. Common primary diagnoses for secondary heart failure hospitalizations included pulmonary disease, renal failure, and infections. Although primary heart failure hospitalizations declined, rates of hospitalizations with a secondary diagnosis of heart failure were stable in the past decade. Strategies to reduce the high burden of hospitalizations of heart failure patients should include consideration of both cardiac disease and non-cardiac conditions.
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影响因子：
2.8
作者：
Lanfear, David E.;Peterson, Edward L.;Williams, L. Keoki
通讯作者：
Williams, L. Keoki
DOI：
10.1053/j.ajkd.2011.02.391
发表时间：
2011-07
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Blecker S;Matsushita K;Köttgen A;Loehr LR;Bertoni AG;Boulware LE;Coresh J
通讯作者：
Coresh J
影响因子：
120.7
作者：
Chen, Jersey;Normand, Sharon-Lise T.;Krumholz, Harlan M.
通讯作者：
Krumholz, Harlan M.
影响因子：
3
作者：
Elixhauser, A;Steiner, C;Coffey, RN
通讯作者：
Coffey, RN
初级保健临床医生对有多种疾病的老年人进行治疗决策的经验。
影响因子：
--
作者：
Fried, Terri R.;Tinetti, Mary E.;Iannone, Lynne
通讯作者：
Iannone, Lynne