Temporal trends in heart failure mortality in an integrated healthcare delivery system, California, and the US, 2001-2017.

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Tytuł:: Temporal trends in heart failure mortality in an integrated healthcare delivery system, California, and the US, 2001-2017.
Autorzy:: Mefford MT; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, USA. .
Zhuang Z; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, USA.
Liang Z; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, USA.
Chen W; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, USA.
Koyama SY; Internal Medicine, Kaiser Permanente Southern California, Baldwin Park, CA, USA.
Taitano MT; Harbor City Medical Center, Harbor City, CA, USA.
Watson HL; Complete Care Support Programs, Kaiser Permanente Southern California, Pasadena, CA, USA.
Lee MS; Department of Cardiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Sidney S; Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Reynolds K; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, USA.
Źródło:: BMC cardiovascular disorders [BMC Cardiovasc Disord] 2021 May 26; Vol. 21 (1), pp. 261. Date of Electronic Publication: 2021 May 26.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Delivery of Health Care, Integrated*
Health Maintenance Organizations*
Heart Failure/*mortality
Age Distribution ; Aged ; Aged, 80 and over ; California/epidemiology ; Female ; Heart Disease Risk Factors ; Heart Failure/diagnosis ; Humans ; Male ; Middle Aged ; Mortality/trends ; Risk Assessment ; Sex Distribution ; Time Factors
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Contributed Indexing:: Keywords: Epidemiology; Heart failure; Mortality; Trends
Entry Date(s):: Date Created: 20210527 Date Completed: 20211221 Latest Revision: 20211221
Update Code:: 20240105
PubMed Central ID:: PMC8157708
DOI:: 10.1186/s12872-021-02075-6
PMID:: 34039262
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Background: In recent years, decreases in mortality rates attributable to cardiovascular diseases have slowed but mortality attributable to heart failure (HF) has increased.
Methods: Between 2001-2017, trends in age-adjusted mortality with HF as an underlying cause for Kaiser Permanente Southern California (KPSC) members were derived through linkage with state death files and compared with trends among California residents and the US. Average annual percent change (AAPC) and 95% confidence intervals (CI) were calculated using Joinpoint regression. Analyses were repeated examining HF as a contributing cause of death.
Results: In KPSC, the age-adjusted HF mortality rates were comparable to California but lower than the US, increasing from 23.9 per 100,000 person-years (PY) in 2001 to 44.7 per 100,000 PY in 2017, representing an AAPC of 1.3% (95% CI 0.0%, 2.6%). HF mortality also increased in California from 33.9 to 46.5 per 100,000 PY (AAPC 1.5%, 95% CI 0.3%, 2.7%), while remaining unchanged in the US at 57.9 per 100,000 PY in 2001 and 2017 (AAPC 0.0%, 95% CI - 0.5%, 0.5%). Trends among KPSC members ≥ 65 years old were similar to the overall population, while trends among members 45-64 years old were flat between 2001-2017. Small changes in mortality with HF as a contributing cause were observed in KPSC members between 2001 and 2017, which differed from California and the US.
Conclusion: Lower rates of HF mortality were observed in KPSC compared to the US. Given the aging of the US population and increasing prevalence of HF, it will be important to examine individual and care-related factors driving susceptibility to HF mortality.

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