Author + information
- Emmanuel Akintoye,
- Alexandros Briasoulis,
- Jarrett Weinberger and
- Luis Afonso
Background: We sought to investigate the impact of national guidelines on outcomes among patients hospitalized with heart failure (HF).
Methods: Age- and gender-standardized annual national estimates in HF admissions were calculated using data from the National Inpatient Sample and the U.S. Census Bureau (2001-2013). Piecewise Poisson regression modeling was used to evaluate the impact of the 2005 and 2009 ACC/AHA guidelines on the trend in HF admissions and in-hospital mortality
Results: ≈ 53 million HF-associated admissions occurred in the U.S. between 2001 and 2013. Admissions with primary diagnosis of HF declined from 563 per 100,000 persons in 2001 to 396 per 100,000 persons in 2013 with average annual decline of 3% (95% CI: 2.5-3.5). In-hospital mortality in these patients declined with average annual rate of 3.5% (95% CI: 2.9-4.0). However, rates of admission with HF as a secondary diagnosis only began to decline after 2006 even though there was consistent decline in the percentage of in-hospital mortality in these patients. Lastly, we found that the 2005 ACC/AHA guidelines might have resulted in significant reduction in primary HF admissions as well as admission rates and in-hospital mortality among patients with HF as secondary diagnosis (Fig 1-4). However the 2009 update did not appear to have further decreased the annual trends.
Conclusions: The publication of the 2005 ACC/AHA guidelines might have had significant impact on primary HF admissions as well as HF-associated in-patient mortality.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Acute Heart Failure: Evaluating Strategies to Prevent Readmissions
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1163-250
- 2017 American College of Cardiology Foundation