دورية أكاديمية
Hospitalization for Heart Failure in the United States, UK, Taiwan, and Japan: An International Comparison of Administrative Health Records on 413,385 Individual Patients.
| العنوان: | Hospitalization for Heart Failure in the United States, UK, Taiwan, and Japan: An International Comparison of Administrative Health Records on 413,385 Individual Patients. |
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| المؤلفون: | Sundaram V; Department of Medicine, Louis Stokes Veteran Affairs Medical Center, Cleveland, Ohio; Department of Cardiovascular Medicine, Harington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK; Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan. Electronic address: vxs173@case.edu., Nagai T; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK; Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan; Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan., Chiang CE; General Clinical Research Center, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC., Reddy YNV; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Chao TF; General Clinical Research Center, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC., Zakeri R; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK; Kings College London, London, UK., Bloom C; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK., Nakai M; Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Suita, Japan., Nishimura K; Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Suita, Japan., Hung CL; Department of Medicine, MacKay Medical College, New Taipei City, Taiwan, ROC; Division of Cardiology, Departments of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan, ROC., Miyamoto Y; Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan., Yasuda S; Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan., Banerjee A; Institute of Health Informatics, University College London, London, UK., Anzai T; Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan., Simon DI; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK., Rajagopalan S; Department of Cardiovascular Medicine, Harington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio., Cleland JGF; Robertson Centre for Biostatistics and Clinical Trials, University of Glasgow, Glasgow, UK., Sahadevan J; Department of Medicine, Louis Stokes Veteran Affairs Medical Center, Cleveland, Ohio; Robertson Centre for Biostatistics and Clinical Trials, University of Glasgow, Glasgow, UK. Electronic address: jxs47@case.edu., Quint JK; Department of Population Science and Gene Health, National Heart & Lung Institute, Imperial College London, London, UK; The Department of Medicine, Louis Stokes Veteran Affairs Medical Center, Cleveland, Ohio. |
| المصدر: | Journal of cardiac failure [J Card Fail] 2022 Mar; Vol. 28 (3), pp. 353-366. Date of Electronic Publication: 2021 Oct 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Churchill Livingstone Country of Publication: United States NLM ID: 9442138 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8414 (Electronic) Linking ISSN: 10719164 NLM ISO Abbreviation: J Card Fail Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2002->: Philadelphia, PA : Churchill Livingstone Original Publication: Naperville, IL : Churchill Livingstone, c1994- |
| مواضيع طبية MeSH: | Heart Failure*/diagnosis , Heart Failure*/epidemiology , Heart Failure*/therapy, Hospitalization ; Humans ; Japan/epidemiology ; Taiwan/epidemiology ; United Kingdom/epidemiology ; United States/epidemiology |
| مستخلص: | Background: Registries show international variations in the characteristics and outcome of patients with heart failure (HF), but national samples are rarely large, and case selection may be biased owing to enrolment in academic centers. National administrative datasets provide large samples with a low risk of bias. In this study, we compared the characteristics, health care resource use (HRU) and outcomes of patients with primary HF hospitalizations (HFH) using electronic health records (EHR) from 4 high-income countries (United States, UK, Taiwan, Japan) on 3 continents. Methods and Results: We used electronic health record to identify unplanned HFH between 2012 and 2014. We identified 231,512, 10,991, 36,900, and 133,982 patients with a primary HFH from the United States, the UK, Taiwan, and Japan, respectively. HFH per 100,000 population was highest in the United States and lowest in Taiwan. Fewer patients in Taiwan and Japan were obese or had chronic kidney disease. The length of hospital stay was shortest in the United States (median 4 days) and longer in the UK, Taiwan, and Japan (medians of 7, 9, and 17 days, respectively). HRU during hospitalization was highest in Japan and lowest in UK. Crude and direct standardized in-hospital mortality was lowest in the United States (direct standardized rates 1.8, 95% confidence interval 1.7%-1.9%) and progressively higher in Taiwan (direct standardized rates 3.9, 95% CI 3.8%-4.1%), the UK (direct standardized rates 6.4, 95% CI 6.1%-6.7%), and Japan (direct standardized rates 6.7, 95% CI 6.6%-6.8%). The 30-day all-cause (25.8%) and HF (7.2%) readmissions were highest in the United States and lowest in Japan (11.9% and 5.1%, respectively). Conclusions: Marked international variations in patient characteristics, HRU, and clinical outcomes exist; understanding them might inform health care policy and international trial design. (Published by Elsevier Inc.) |
| التعليقات: | Comment in: J Card Fail. 2022 Mar;28(3):367-369. (PMID: 34973871) |
| معلومات مُعتمدة: | R21 HL140417 United States HL NHLBI NIH HHS |
| فهرسة مساهمة: | Keywords: Heart failure; Japan; Taiwan; United Kingdom; United States; outcomes |
| تواريخ الأحداث: | Date Created: 20211011 Date Completed: 20220503 Latest Revision: 20240523 |
| رمز التحديث: | 20240523 |
| DOI: | 10.1016/j.cardfail.2021.08.024 |
| PMID: | 34634448 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8414 |
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| DOI: | 10.1016/j.cardfail.2021.08.024 |