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Regional outcomes of heart failure in Canada

Douglas S Lee1, Helen Johansen, Yanyan Gong

  • 1Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.

The Canadian Journal of Cardiology
|May 21, 2004
PubMed

Insights

Heart failure is a significant health issue in Canada, particularly affecting older adults. Mortality and readmission rates are high and vary by region, warranting further investigation.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Heart failure (HF) presents a substantial burden of mortality and morbidity.
  • Demographic characteristics and outcomes of HF hospitalizations in Canada remain under-explored.
  • Regional variations in HF care and outcomes are not well-documented.

Purpose of the Study:

  • To analyze the demographics of patients hospitalized for heart failure in Canada.
  • To compare in-hospital mortality rates and heart failure readmission rates across Canadian provinces and health regions.
  • To identify regional disparities in heart failure outcomes.

Main Methods:

  • Utilized anonymized patient records from the Canadian Institute for Health Information (CIHI) databases.
  • Included data from fiscal years 1997/1998 to 1999/2000 for incident heart failure hospitalizations.
  • Compared demographics, in-hospital mortality, and readmission rates across different regions.

Main Results:

  • 83,406 patients were hospitalized for heart failure; 85% were aged 65+.
  • In-hospital mortality averaged 9.5 per 100 cases.
  • One-year readmission rates reached 23.6%, with significant regional variations observed in mortality and readmissions.

Conclusions:

  • Heart failure poses a significant challenge in Canada, with prevalence increasing with age.
  • High mortality and readmission rates underscore the severity of the condition.
  • Identified regional variations in outcomes necessitate further research into contributing factors.
Abstract

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