Following the diagnosis of heart failure (HF) in US men and women, there were significant racial/ethnic differences in trajectories of hospitalization, including disparities by place of residence, a recent study found. Data from a nationally representative prospective cohort of US men and women aged ≥45 years were used to examined the number of hospitalizations reported every 24 months. 3,011 participants who were non-Hispanic white, non-Hispanic black, and Hispanic with a reported diagnosis of HF were followed from 1998 to 2014. Researchers found:
- Following HF diagnosis, an average of 2.36 hospitalizations within 24 months decreased by 0.35 every 24 months and subsequently increased by 0.03 thereafter.
- Among men, there were no racial/ethnic differences reported at diagnosis; however, Hispanic men had significant declines in hospitalizations after diagnosis followed by a large increase in hospitalizations at later stages of disease.
- Among women, hospitalizations were consistently high following HF diagnosis and black women had significantly more hospitalizations throughout the follow-up period than white women.
- Racial/ethnic disparities varied by geography, even after adjustments for multiple risk factors.
Dupre ME, Gu D, Xu H, Willis J, Curtis LH, Peterson ED. Racial and ethnic differences in trajectories of hospitalization in US men and women with heart failure. [Published online ahead of print November 16, 2017]. J Am Heart Assoc. doi:10.1161/JAHA.117.006290.
This Week's Must Reads
Pharmacologic Tx of Seasonal Allergic Rhinitis, Ann Intern Med; ePub 2017 Nov 28; Wallace, et al
Risk of Obesity From Childhood into Adulthood, N Engl J Med; 2017 Nov 30; Ward, Long, et al
Labeling of Selective Androgen Receptor Modulators, JAMA; 2017 Nov 28; Van Wagoner, Eichner, et al
Oral Capsule vs Colonoscopy FMT for CDI, JAMA; 2017 Nov 28; Kao, Roach, et al
HIV Testing & Impact of Delayed Diagnosis, MMWR; 2017 Dec 1; Dailey, Hoots, et al
Must Reads in Cardiology
Racial/Ethnic Disparities in Hospitalization for HF, J Am Heart Assoc; ePub 2017 Nov 16; Dupre, et al
Hospital Readmissions Following HF Hospitalization, JAMA Cardiol; ePub 2017 Nov 12; Gupta, et al
Clinical Predictive Models for Patients with HF, J Am Heart Assoc; ePub 2017 Nov 18; Wessler, et al
Impact of Diabetes Mellitus After LVAD Implantation, Circ Heart Fail; ePub 2017 Nov 15; Asleh, et al
Epidemiology of HF in Older Adults Across Settings , Circ Heart Fail; ePub 2017 Nov 12; Khera, et al