National Trends in Outcomes Among Elderly Patients with Heart Failure

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjmed.2005.11.019 Byline: Mikhail Kosiborod (a), Judith H. Lichtman (b), Paul A. Heidenreich (c), Sharon-Lise T. Normand (d), Yun Wang (e), Lawrence M. Brass (b)(f)(g), Harlan M. Krumholz (e)(h)(i)(j) Keywords: Heart failure; Health services research; Trends Abstract: Despite dramatic changes in heart failure management during the 1990s, little is known about the national heart failure mortality trends during this time period, particularly among the elderly. The purpose of this study was to determine temporal trends in outcomes of elderly patients with heart failure between 1992 and 1999. Author Affiliation: (a) Mid America Heart Institute of Saint Luke's Hospital and the University of Missouri, Kansas City, Mo (b) Section of Chronic Disease Epidemiology, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn (c) VA Palo Alto Health Care System, and the Department of Medicine, Stanford University, Stanford, Calif (d) Department of Health Care Policy, Harvard Medical School and the Department of Biostatistics, Harvard School of Public Health, Boston, Mass (e) Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Conn (f) Department of Neurology, Yale University School of Medicine, New Haven, Conn (g) Neurology Service of the VA Connecticut Healthcare System, West Haven, Conn (h) Section of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn (i) Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, Conn (j) Section of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Conn. Article Note: (footnote) This publication was supported by grant number 1 K01 DP000085-01 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. The Centers for Medicare and Medicaid Services (CMS) reviewed and approved the use of its data for this work, and approved submission of the manuscript; this approval is based on data use only, and does not represent a CMS endorsement of or comment on the manuscript content. Neither CDC nor CMS played a role in the design and conduct of the study, or in the analysis and interpretation of the data. All authors had full access to the data in the study and take responsibility for the integrity of the data and the accuracy of the analysis.