National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support

P. Elliott Miller; Shanti Patel; Aparna Saha; Avirup Guha; Sumeet Pawar; Priti Poojary; Parita Ratnani; Lili Chan; Stephan L. Kamholz; Carlos L. Alviar; Sean van Diepen; Khurram Nasir; Tariq Ahmad; Girish N. Nadkarni; Nihar R. Desai

doi:10.1016/j.amjcard.2019.08.033

National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support

P. Elliott Miller, Shanti Patel, Aparna Saha, Avirup Guha, Sumeet Pawar, Priti Poojary, Parita Ratnani, Lili Chan, Stephan L. Kamholz, Carlos L. Alviar, Sean van Diepen, Khurram Nasir, Tariq Ahmad, Girish N. Nadkarni, Nihar R. Desai

Cardiology

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Despite increasing medical complexity in patients with heart failure (HF), there are limited data on incidence and outcomes for patients with HF needing respiratory support. This study sought to examine contemporary trends of respiratory support strategies among patients with HF. Using the National Inpatient Sample, we identified adults aged greater than 18 years hospitalized with a primary diagnosis of HF. We assessed for trends in the use of invasive mechanical ventilation (IMV) and noninvasive ventilation (NIV), length of stay, hospital costs, and in-hospital mortality. From 2002 to 2014, we identified 9,508,768 HF hospitalizations, which included 202,340 (2.13%) and 257,549 (2.71%) patients that required IMV and NIV, respectively. Over the study period, the proportion of HF patients requiring IMV significantly decreased (3.25% in 2002 to 1.56% in 2014) whereas the use of NIV significantly increased from 0.95% to 7.25% (ptrend

Original language	English (US)
Pages (from-to)	1712-1719
Number of pages	8
Journal	American Journal of Cardiology
Volume	124
Issue number	11
DOIs	https://doi.org/10.1016/j.amjcard.2019.08.033
State	Published - Dec 1 2019

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Miller, P. E., Patel, S., Saha, A., Guha, A., Pawar, S., Poojary, P., Ratnani, P., Chan, L., Kamholz, S. L., Alviar, C. L., van Diepen, S., Nasir, K., Ahmad, T., Nadkarni, G. N., & Desai, N. R. (2019). National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support. American Journal of Cardiology, 124(11), 1712-1719. https://doi.org/10.1016/j.amjcard.2019.08.033

Miller, PE, Patel, S, Saha, A, Guha, A, Pawar, S, Poojary, P, Ratnani, P, Chan, L, Kamholz, SL, Alviar, CL, van Diepen, S, Nasir, K, Ahmad, T, Nadkarni, GN & Desai, NR 2019, 'National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support', American Journal of Cardiology, vol. 124, no. 11, pp. 1712-1719. https://doi.org/10.1016/j.amjcard.2019.08.033

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title = "National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support",

abstract = "Despite increasing medical complexity in patients with heart failure (HF), there are limited data on incidence and outcomes for patients with HF needing respiratory support. This study sought to examine contemporary trends of respiratory support strategies among patients with HF. Using the National Inpatient Sample, we identified adults aged greater than 18 years hospitalized with a primary diagnosis of HF. We assessed for trends in the use of invasive mechanical ventilation (IMV) and noninvasive ventilation (NIV), length of stay, hospital costs, and in-hospital mortality. From 2002 to 2014, we identified 9,508,768 HF hospitalizations, which included 202,340 (2.13%) and 257,549 (2.71%) patients that required IMV and NIV, respectively. Over the study period, the proportion of HF patients requiring IMV significantly decreased (3.25% in 2002 to 1.56% in 2014) whereas the use of NIV significantly increased from 0.95% to 7.25% (ptrend ",

author = "Miller, {P. Elliott} and Shanti Patel and Aparna Saha and Avirup Guha and Sumeet Pawar and Priti Poojary and Parita Ratnani and Lili Chan and Kamholz, {Stephan L.} and Alviar, {Carlos L.} and {van Diepen}, Sean and Khurram Nasir and Tariq Ahmad and Nadkarni, {Girish N.} and Desai, {Nihar R.}",

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AU - Pawar, Sumeet

AU - Poojary, Priti

AU - Ratnani, Parita

AU - Chan, Lili

AU - Kamholz, Stephan L.

AU - Alviar, Carlos L.

AU - van Diepen, Sean

AU - Nasir, Khurram

AU - Ahmad, Tariq

AU - Nadkarni, Girish N.

AU - Desai, Nihar R.

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AB - Despite increasing medical complexity in patients with heart failure (HF), there are limited data on incidence and outcomes for patients with HF needing respiratory support. This study sought to examine contemporary trends of respiratory support strategies among patients with HF. Using the National Inpatient Sample, we identified adults aged greater than 18 years hospitalized with a primary diagnosis of HF. We assessed for trends in the use of invasive mechanical ventilation (IMV) and noninvasive ventilation (NIV), length of stay, hospital costs, and in-hospital mortality. From 2002 to 2014, we identified 9,508,768 HF hospitalizations, which included 202,340 (2.13%) and 257,549 (2.71%) patients that required IMV and NIV, respectively. Over the study period, the proportion of HF patients requiring IMV significantly decreased (3.25% in 2002 to 1.56% in 2014) whereas the use of NIV significantly increased from 0.95% to 7.25% (ptrend

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National Trends in Incidence and Outcomes of Patients With Heart Failure Requiring Respiratory Support

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