Journal article
Trends of Hospitalizations in the United States from 2000 to 2012 of Patients >60 Years With Aortic Valve Disease
The American journal of cardiology, Vol.116(1), pp.132-141
07/01/2015
DOI: 10.1016/j.amjcard.2015.03.053
PMID: 25983278
Abstract
In recent years, there has been an increased emphasis on the diagnosis and treatment of valvular heart disease and, in particular, aortic stenosis. This has been driven in part by the development of innovative therapeutic options and by an aging patient population. We hypothesized an increase in the number of hospitalizations and the economic burden associated with aortic valve disease (AVD). Using Nationwide Inpatient Sample from 2000 to 2012, AVD-related hospitalizations were identified using International Classification of Diseases, Ninth Revision, Clinical Modification, code 424.1, as the principal discharge diagnosis. Overall AVD hospitalizations increased by 59% from 2000 to 2012. This increase was most significant in patients >80 years and those with higher burden of co-morbidities. The most frequent coexisting conditions were hypertension, heart failure, renal failure, anemia, and diabetes. Overall inhospital mortality of patients hospitalized for AVD was 3.8%, which significantly decreased from 4.5% in 2000 to 3.5% in 2012 (p <0.001). The largest decrease in mortality was seen in the subgroup of patients who had heart failure (62% reduction), higher burden of co-morbidities (58% reduction), and who were >80 years (53% reduction). There was a substantial increase in the cost of hospitalization in the last decade from $31,909 to $38,172 (p <0.001). The total annual cost for AVD hospitalization in the United States increased from $1.3 billion in 2001 to $2.1 billion in 2011 and is expected to increase to nearly 3 billion by 2020. The last decade has witnessed a significant increase in hospitalizations for AVD in the United States. The associated decrease in inhospital mortality and increase in the cost of hospitalization have considerably increased the economic burden on the public health system.
Details
- Title: Subtitle
- Trends of Hospitalizations in the United States from 2000 to 2012 of Patients >60 Years With Aortic Valve Disease
- Creators
- Apurva O Badheka - Cardiovascular Division, Yale School of Medicine, New Haven, ConnecticutVikas Singh - Cardiovascular Division, University of Miami Miller School of Medicine, Miami, FloridaNileshkumar J Patel - Cardiovascular Division, Staten Island University Hospital, Staten Island, New YorkShilpkumar Arora - Cardiovascular Division, Mount Sinai St Luke's Roosevelt Hospital, New York, New YorkNilay Patel - Cardiovascular Division, Saint Peter's University Hospital, New Brunswick, New JerseyBadal Thakkar - Cardiovascular Division, Tulane School of Public Health and Tropical Medicine, New Orleans, Los AngelesSunny Jhamnani - Cardiovascular Division, Yale School of Medicine, New Haven, ConnecticutSadip Pant - Cardiovascular Division, Icahn School of Public Health at Mount Sinai, New York, New YorkAnkit Chothani - Cardiovascular Division, University of Louisville, Louisville, KentuckyConrad Macon - Cardiovascular Division, University of Miami Miller School of Medicine, Miami, FloridaSidakpal S Panaich - Cardiovascular Division, MedStar Washington Hospital Center, Washington, District of ColumbiaJay Patel - Cardiovascular Division, MedStar Washington Hospital Center, Washington, District of ColumbiaSohilkumar Manvar - Cardiovascular Division, MedStar Washington Hospital Center, Washington, District of ColumbiaChirag Savani - Cardiovascular Division, Detroit Medical Center, Detroit, MichiganParth Bhatt - Cardiovascular Division, Tulane School of Public Health and Tropical Medicine, New Orleans, Los AngelesVinaykumar Panchal - Cardiovascular Division, Tulane School of Public Health and Tropical Medicine, New Orleans, Los AngelesNeil Patel - Cardiovascular Division, Jersey City Medical Center, Jersey City, New JerseyAchint Patel - Cardiovascular Division, Jersey City Medical Center, Jersey City, New JerseyDarshan Patel - Cardiovascular Division, MedStar Washington Hospital Center, Washington, District of ColumbiaSopan Lahewala - Cardiovascular Division, Mayo Clinic, Rochester, MinnesotaAbhishek Deshmukh - Cardiovascular Division, Mayo Clinic, Rochester, MinnesotaTamam Mohamad - Cardiovascular Division, MedStar Washington Hospital Center, Washington, District of ColumbiaAbeel A Mangi - Cardiovascular Division, Yale School of Medicine, New Haven, ConnecticutMichael Cleman - Cardiovascular Division, Yale School of Medicine, New Haven, ConnecticutJohn K Forrest - Cardiovascular Division, Yale School of Medicine, New Haven, Connecticut. Electronic address: apurva_badheka@yahoo.com
- Resource Type
- Journal article
- Publication Details
- The American journal of cardiology, Vol.116(1), pp.132-141
- DOI
- 10.1016/j.amjcard.2015.03.053
- PMID
- 25983278
- ISSN
- 0002-9149
- eISSN
- 1879-1913
- Language
- English
- Date published
- 07/01/2015
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094517602771
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