Acute Cardiovascular Disease, Stroke Hospitalizations Down
(HealthDay News) — From 1999–2011 there were considerable declines in hospitalizations for acute cardiovascular disease and stroke, outpacing those of other conditions, according to a study published online August 18 in Circulation.
Harlan M. Krumholz, MD, from the Yale University School of Medicine in New Haven, CT, and colleagues evaluated changes in hospitalization rates and outcomes for patients with cardiovascular disease and stroke. Medicare data was used to identify older patients (aged ≥65 years) hospitalized with unstable angina, myocardial infarction, heart failure, and ischemic stroke from 1999–2011.
The researchers found that there were decreases in the adjusted rates of hospitalization for cardiovascular conditions for 2011 vs. 1999 (38.0% for myocardial infarction; 83.8% for unstable angina; 30.5% for heart failure; and 33.6% for ischemic stroke, compared with 10.2% for all other conditions). There were also declines in the adjusted 30-day mortality rates (29.4% for myocardial infarction; 13.1% for unstable angina; 16.4% for heart failure; and 4.7% for ischemic stroke). Reductions were also seen for one-year mortality and 30-day readmission. Declines were consistent among demographic subgroups.
"Hospitalizations for acute cardiovascular disease and stroke from 1999–2011 declined more rapidly than for other conditions," the authors write. "For these conditions, mortality and readmission outcomes improved."
One author disclosed financial ties to the medical device industry.