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Outcomes of Heart Failure Hospitalizations in Adult Patients With Coarctation of Aorta: Report From National

Amith Seri1, Nischit Baral1, Amman Yousaf1

  • 1Department of Internal Medicine, McLaren Health Care and Michigan State University, Flint, MI.

Current Problems in Cardiology
|June 21, 2023
PubMed

Insights

Coarctation of aorta (CoA) patients admitted for heart failure are younger and require more resources. However, CoA does not significantly increase in-hospital mortality for heart failure admissions.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Heart Failure Research

Background:

  • Coarctation of the aorta (CoA) is a prevalent congenital heart defect.
  • CoA is associated with an increased risk of early diastolic and systolic heart failure.
  • Understanding the impact of CoA on heart failure hospitalizations is crucial for resource allocation and patient management.

Purpose of the Study:

  • To evaluate the impact of coarctation of the aorta (CoA) on heart failure hospitalization outcomes.
  • To compare healthcare resource utilization and mortality in heart failure patients with and without CoA.

Main Methods:

  • Retrospective cohort study utilizing the National Inpatient Sample (NIS).
  • Comparison of heart failure hospitalization outcomes between patients with and without CoA.
  • Analysis of patient demographics, length of stay, incidence of cardiogenic shock, and in-hospital mortality.

Main Results:

  • An increasing prevalence of CoA-related heart failure admissions was observed over the past decade.
  • Heart failure patients with CoA were significantly younger (mean age 57 vs. 71.6 years) and had a longer length of stay (7.4 vs. 5.4 days).
  • Patients with CoA exhibited a higher incidence of cardiogenic shock (6.5% vs. 2.1%), but in-hospital mortality did not differ significantly (OR 1.45).

Conclusions:

  • Coarctation of the aorta increases healthcare resource utilization in patients hospitalized for heart failure.
  • CoA does not appear to significantly elevate in-hospital mortality for heart failure admissions.
  • These findings highlight the substantial burden of CoA on healthcare systems within the context of heart failure management.

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