Health Resource Implications of Heart Failure Hospitalizations in Younger Patients Compared With Older Patients
This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Although heart failure (HF) is less common in individuals <50, recent studies have demonstrated a substantial increase in the frequency of young HF over the past 2 decades.1,2 This has been attributed to the increasing prevalence of obesity, type 2 diabetes mellitus, and hypertension, and better treatments for congenital heart disease, coronary artery disease, dyslipidemia, or hypertension.2 Recent studies reported decreasing mortality rates in older patients with HF over the past 2 decades, but no appreciable changes in the standardized mortality rate for HF patients <50 years since the turn of the millennium.1,2 However, little is known about hospital resource use by younger versus older patients with HF, and this has major implications for future resource planning.
In this retrospective cohort study we examined outcomes for all patients >20 years hospitalized with a primary diagnosis of heart failure in Canada between April 2004 and December 2013. Details on the databases used, International Classification of Diseases, 10th Revision case definitions for HF and all comorbidities, and analytic methods have been …