Cardiac Catheterization and Outcomes for Elderly Patients Hospitalized With Heart Failure

被引：0

作者：

Patel, Palak ^{[1
]}

Richard, Ivan ^{[1
]}

Filice, Giuseppe ^{[1
]}

Nikiforov, Ivan ^{[1
]}

Kata, Priyaranjan ^{[1
]}

Kanukuntla, Anish Kumar ^{[1
]}

Okere, Arthur ^{[1
]}

Hollenbeak, Christopher S. ^{[2
]}

Cheriyath, Pramil ^{[1
,3
]}

机构：

[1] Hackensack Meridian Ocean Med Ctr, Brick Township, NJ USA

[2] Penn State Univ, Coll Hlth & Human Dev, Dept Hlth Policy & Adm, University Pk, PA USA

[3] Hackensack Meridian Hlth Ocean Med Ctr, 425 Jack Martin Blvd, Brick Township, NJ 08724 USA

来源：

HEALTH SERVICES INSIGHTS | 2024年 / 17卷

关键词：

Heart failure; elderly; cardiac catheterization; mortality; length of stay; retrospective; OLDER-ADULTS; COMORBIDITY; ICD-9-CM; FRAILTY; INDEX;

D O I：

10.1177/11786329231224616

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Heart failure affects over 6 million people in the United States (US) with limited evidence to support the use of cardiac catheterization. The benefit of its use remains mostly as expert opinion. This study intends to assess the benefits and risks of cardiac catheterization in elderly patients admitted for heart failure.Methods: This was a retrospective study using data from the National Inpatient Sample, including admissions 65 years and older hospitalized for heart failure, between 2008 and 2016. The outcomes analyzed were in-hospital mortality, total hospital costs, and length of stay.Results: After controlling for covariates, cardiac catheterization was found to have a protective association with mortality (OR 0.87, 95% CI 0.833-0.912, P < .0001), an increased hospital length of stay by 2.88 days (95% CI: 2.84-2.92 days, P < .0001) and approximately $16 255 increase in cost.Conclusions: Cardiac catheterization was associated with decreased in-hospital mortality, longer length of stay and higher total costs in admissions with heart failure aged 65 years or older.

引用

页数：14

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