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  4. Nationwide trends in incidence, healthcare utilization, and mortality in hospitalized heart failure patients in Taiwan
 
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Nationwide trends in incidence, healthcare utilization, and mortality in hospitalized heart failure patients in Taiwan

Journal
ESC Heart Failure
Date Issued
2020
Author(s)
TZUNG-DAU WANG  
Huang S.-T.
Wang C.-Y.
FANG-JU LIN  
Chen H.-M.
FEI-YUAN HSIAO  
DOI
10.1002/ehf2.12892
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090973448&doi=10.1002%2fehf2.12892&partnerID=40&md5=6c034bf57a96fa49b42d54d86286b608
https://scholars.lib.ntu.edu.tw/handle/123456789/523288
Abstract
Aims: The objective of this study was to estimate the nationwide annual incidence, healthcare utilization, and mortality among hospitalized heart failure (HF) patients in Taiwan. Methods and results: People aged 20?years or older and having been newly admitted for HF between 2010 and 2015 were identified from Taiwan's National Health Insurance Research Database. For 124?816 patients with incident HF hospitalizations between 2010 and 2012, we further analysed their treatment patterns, healthcare utilizations, and mortality during index hospitalization and within 3?years following discharge from the index hospitalization. The age-stratified incidences were declined by 10–20% in people aged 55?years or older, but increased by ~4% among people younger than 44?years old between 2010 and 2015. For all incident hospitalized HF patients, the percentages of patients visiting the emergency room, were rehospitalized, and treated with guideline-directed medical therapy were highest in the first year. Approximately two-thirds of subsequent hospitalizations were due to non-HF and non-cardiovascular causes. The all-cause mortality rate during index hospitalization was 8.5%, whereas the mortality rates at 30?days, 90?days, 180?days, 1?year, 2?years, and 3?years following discharge were 3.5%, 8.9%, 14.4%, 22.5%, 33.9%, and 42.8%, respectively, for those surviving index HF hospitalization. Non-cardiovascular disease-related deaths accounted for nearly 60% of all deaths. Conclusions: Our study reveals that, in contemporary Taiwan, the >10% annual mortality following the first year of hospitalization, 30% deaths occurring outside the hospital, and 60% non-cardiovascular-related deaths, along with the decreasing use of guideline-directed medical therapy, highlight sectors requiring more attention. ? 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology
SDGs

[SDGs]SDG3

Other Subjects
aldosterone antagonist; angiotensin receptor antagonist; beta adrenergic receptor blocking agent; dipeptidyl carboxypeptidase inhibitor; adult; Article; cross-sectional study; emergency ward; female; follow up; health care utilization; heart failure; hospital discharge; hospitalization; human; longitudinal study; major clinical study; male; morbidity; mortality; outcome assessment; priority journal; retrospective study; Taiwan; trend study
Publisher
Wiley-Blackwell
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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