Prevalence, Morbidity, and Mortality of Heart Failure–Related Hospitalizations in Children in the United States: A Population-Based Study

Abstract Background Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart failure–related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of sta...

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Published inJournal of cardiac failure Vol. 18; no. 6; pp. 459 - 470
Main Authors Rossano, Joseph W., MD, Kim, Jeffrey J., MD, Decker, Jamie A., MD, Price, Jack F., MD, Zafar, Farhan, MD, Graves, Daniel E., PhD, Morales, David L.S., MD, Heinle, Jeffrey S., MD, Bozkurt, Biykem, MD, Towbin, Jeffrey A., MD, Denfield, Susan W., MD, Dreyer, William J., MD, Jefferies, John L., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2012
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Abstract Abstract Background Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart failure–related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of stay were also assessed. Methods and Results A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed for pediatric (age ≤18 years) heart failure–related hospitalizations for the years 1997, 2000, 2003, and 2006. Hospitalizations did not significantly increase over time, ranging from 11,153 (95% confidence interval [CI] 8,898–13,409) in 2003 to 13,892 (95% CI 11,528–16,256) in 2006. Hospital length of stay increased from 1997 (mean 13.8 days, 95% CI 12.5–15.2) to 2006 (mean 19.4 days, 95% CI 18.2 to 20.6). Hospital mortality was 7.3% (95% CI 6.9–8.0) and did not vary significantly between years; however, risk-adjusted mortality was less in 2006 (odds ratio 0.70, 95% CI 0.61 to 0.80). The greatest risk of mortality occurred with extracorporeal membrane oxygenation, acute renal failure, and sepsis. Conclusions Heart failure–related hospitalizations occur in 11,000–14,000 children annually in the United States, with an overall mortality of 7%. Many comorbid conditions influenced hospital mortality.
AbstractList Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart failure-related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of stay were also assessed. A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed for pediatric (age ≤18 years) heart failure-related hospitalizations for the years 1997, 2000, 2003, and 2006. Hospitalizations did not significantly increase over time, ranging from 11,153 (95% confidence interval [CI] 8,898-13,409) in 2003 to 13,892 (95% CI 11,528-16,256) in 2006. Hospital length of stay increased from 1997 (mean 13.8 days, 95% CI 12.5-15.2) to 2006 (mean 19.4 days, 95% CI 18.2 to 20.6). Hospital mortality was 7.3% (95% CI 6.9-8.0) and did not vary significantly between years; however, risk-adjusted mortality was less in 2006 (odds ratio 0.70, 95% CI 0.61 to 0.80). The greatest risk of mortality occurred with extracorporeal membrane oxygenation, acute renal failure, and sepsis. Heart failure-related hospitalizations occur in 11,000-14,000 children annually in the United States, with an overall mortality of 7%. Many comorbid conditions influenced hospital mortality.
BACKGROUNDFew data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart failure-related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of stay were also assessed.METHODS AND RESULTSA retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed for pediatric (age ≤18 years) heart failure-related hospitalizations for the years 1997, 2000, 2003, and 2006. Hospitalizations did not significantly increase over time, ranging from 11,153 (95% confidence interval [CI] 8,898-13,409) in 2003 to 13,892 (95% CI 11,528-16,256) in 2006. Hospital length of stay increased from 1997 (mean 13.8 days, 95% CI 12.5-15.2) to 2006 (mean 19.4 days, 95% CI 18.2 to 20.6). Hospital mortality was 7.3% (95% CI 6.9-8.0) and did not vary significantly between years; however, risk-adjusted mortality was less in 2006 (odds ratio 0.70, 95% CI 0.61 to 0.80). The greatest risk of mortality occurred with extracorporeal membrane oxygenation, acute renal failure, and sepsis.CONCLUSIONSHeart failure-related hospitalizations occur in 11,000-14,000 children annually in the United States, with an overall mortality of 7%. Many comorbid conditions influenced hospital mortality.
Abstract Background Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart failure–related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of stay were also assessed. Methods and Results A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed for pediatric (age ≤18 years) heart failure–related hospitalizations for the years 1997, 2000, 2003, and 2006. Hospitalizations did not significantly increase over time, ranging from 11,153 (95% confidence interval [CI] 8,898–13,409) in 2003 to 13,892 (95% CI 11,528–16,256) in 2006. Hospital length of stay increased from 1997 (mean 13.8 days, 95% CI 12.5–15.2) to 2006 (mean 19.4 days, 95% CI 18.2 to 20.6). Hospital mortality was 7.3% (95% CI 6.9–8.0) and did not vary significantly between years; however, risk-adjusted mortality was less in 2006 (odds ratio 0.70, 95% CI 0.61 to 0.80). The greatest risk of mortality occurred with extracorporeal membrane oxygenation, acute renal failure, and sepsis. Conclusions Heart failure–related hospitalizations occur in 11,000–14,000 children annually in the United States, with an overall mortality of 7%. Many comorbid conditions influenced hospital mortality.
Author Rossano, Joseph W., MD
Bozkurt, Biykem, MD
Price, Jack F., MD
Zafar, Farhan, MD
Towbin, Jeffrey A., MD
Denfield, Susan W., MD
Decker, Jamie A., MD
Kim, Jeffrey J., MD
Graves, Daniel E., PhD
Heinle, Jeffrey S., MD
Morales, David L.S., MD
Dreyer, William J., MD
Jefferies, John L., MD
Author_xml – sequence: 1
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  fullname: Kim, Jeffrey J., MD
– sequence: 3
  fullname: Decker, Jamie A., MD
– sequence: 4
  fullname: Price, Jack F., MD
– sequence: 5
  fullname: Zafar, Farhan, MD
– sequence: 6
  fullname: Graves, Daniel E., PhD
– sequence: 7
  fullname: Morales, David L.S., MD
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  fullname: Heinle, Jeffrey S., MD
– sequence: 9
  fullname: Bozkurt, Biykem, MD
– sequence: 10
  fullname: Towbin, Jeffrey A., MD
– sequence: 11
  fullname: Denfield, Susan W., MD
– sequence: 12
  fullname: Dreyer, William J., MD
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  fullname: Jefferies, John L., MD
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22633303$$D View this record in MEDLINE/PubMed
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Keywords Heart failure
epidemiology
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PublicationDate 2012-06-01
PublicationDateYYYYMMDD 2012-06-01
PublicationDate_xml – month: 06
  year: 2012
  text: 2012-06-01
  day: 01
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Journal of cardiac failure
PublicationTitleAlternate J Card Fail
PublicationYear 2012
Publisher Elsevier Inc
Publisher_xml – name: Elsevier Inc
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Snippet Abstract Background Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric...
Few data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart...
BACKGROUNDFew data exist on prevalence, morbidity, and mortality of pediatric heart failure hospitalizations. We tested the hypotheses that pediatric heart...
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StartPage 459
SubjectTerms Adolescent
Cardiovascular
Child
Child, Preschool
Cohort Studies
epidemiology
Female
Heart failure
Heart Failure - mortality
Hospital Mortality
Hospitalization - statistics & numerical data
Humans
Infant
Infant, Newborn
Length of Stay - statistics & numerical data
Male
pediatrics
Prevalence
Retrospective Studies
United States
Title Prevalence, Morbidity, and Mortality of Heart Failure–Related Hospitalizations in Children in the United States: A Population-Based Study
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1071916412000875
https://dx.doi.org/10.1016/j.cardfail.2012.03.001
https://www.ncbi.nlm.nih.gov/pubmed/22633303
https://search.proquest.com/docview/1017621782
Volume 18
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