National Trends in Heart Failure Hospitalization After Acute Myocardial Infarction for Medicare Beneficiaries
| Autor: | Frederick A. Masoudi, Jersey Chen, Angela Fu-Chi Hsieh, Kumar Dharmarajan, Harlan M. Krumholz |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) Medicare beneficiary Retrospective cohort study medicine.disease Physiology (medical) Heart failure Epidemiology Emergency medicine medicine Myocardial infarction Disease management (health) Cardiology and Cardiovascular Medicine Intensive care medicine business Survival rate |
| Zdroj: | Circulation. 128:2577-2584 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circulationaha.113.003668 |
| Popis: | Background— Previous studies have reported conflicting findings regarding how the incidence of heart failure (HF) after acute myocardial infarction (AMI) has changed over time, and data on contemporary national trends are sparse. Methods and Results— Using a complete national sample of 2 789 943 AMI hospitalizations of Medicare fee-for-service beneficiaries from 1998 through 2010, we evaluated annual changes in the incidence of subsequent HF hospitalization and mortality using Poisson and survival analysis models. The number of patients hospitalized for HF within 1 year after AMI declined modestly from 16.1 per 100 person-years in 1998 to 14.2 per 100 person years in 2010 ( P Conclusions— In a national sample of Medicare beneficiaries, HF hospitalization after AMI decreased from 1998 to 2010, which may indicate improvements in the management of AMI. In contrast, survival after HF following AMI remains poor, and has worsened from 2007 to 2010, demonstrating that challenges still remain for the treatment of this high-risk condition after AMI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|