National Trends and Disparities in Heart Failure Hospitalizations and Inpatient Outcomes Between 2010-2022.

Area of Science:

• Cardiology
• Public Health
• Epidemiology

Background:

• Limited data exist on age-standardized heart failure (HF) hospitalization trends.
• Understanding differential rates across demographics is crucial.

Purpose of the Study:

• To assess temporal trends in age-standardized HF hospitalization rates.
• To analyze in-hospital mortality trends for HF patients stratified by age, sex, race, insurance, and location.

Main Methods:

• Analysis of the National Inpatient Sample database (2010-2022).
• Examination of HF hospitalization rates and in-hospital mortality trends across demographic strata.

Main Results:

• Age-standardized HF hospitalizations increased from 2014-2018, then declined.
• Hospitalizations rose in younger adults (<65 years) but fell in older adults (>64 years).
• In-hospital mortality showed no improvement and increased in 2020.

Conclusions:

• HF hospitalizations shifted towards younger populations (<65 years) between 2010-2022.
• A notable increase in in-hospital mortality occurred in 2020.
• Trends varied significantly by age group, insurance, and hospital location.