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National Burden of Heart Failure Events in the United States, 2006-2014
  • Published Date:
    Dec 2018
  • Source:
    Circ Heart Fail. 11(12):e004873
  • Language:
    English


Public Access Version Available on: December 01, 2019 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    30562099
  • Pubmed Central ID:
    PMC6424109
  • Description:
    Background:

    Heart failure (HF), a serious and costly condition, is increasingly prevalent. We estimated the US burden including emergency department (ED) visits, inpatient hospitalizations and associated costs, and mortality.

    Methods and Results:

    We analyzed 2006–2014 data from the Healthcare Cost and Utilization Project’s (HCUP) Nationwide ED Sample, the HCUP National (Nationwide) Inpatient Sample, and the National Vital Statistics System. ICD codes identified HF and comorbidities. Burden was estimated separately for ED visits, hospitalizations, and mortality. In addition, criteria were applied to identify total unique acute events. Rates of “primary HF” (primary diagnosis or underlying cause of death) and “comorbid HF” (comorbid diagnosis or contributing cause of death) were calculated, age-standardized to the 2010 US population. In 2014, there were an estimated 1,068,412 ED visits, 978,135 hospitalizations, and 83,705 deaths with primary HF. There were 4,071,546 ED visits, 3,370,856 hospitalizations, and 230,963 deaths with comorbid HF. Between 2006–2014, the total unique acute event rate for primary HF declined from 536 to 449 per 100,000 [Relative percent change (RPC) of −16%, p for trend <0.001], but increased for comorbid HF from 1,467 to1,689 per 100,000 (RPC 15%, p for trend<0.001). HF-related mortality decreased significantly from 2006–2009 but did not change meaningfully after 2009. For hospitalizations with primary HF, the estimated mean cost was $11,552 in 2014, totaling an estimated $11 billion.

    Conclusions:

    Given substantial healthcare and mortality burden of HF, rising healthcare costs, and the aging US population, continued improvements in HF prevention, management, and surveillance are important.

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