Pattern and outcome of heart failure-related hospitalization over 5 years in a remote Australian population: a Retrospective Administrative Data Cohort of 617 Indigenous and non-indigenous cases
Journal article
Tuttle, Camilla, Reeves, Matthew, Zhong Hu, Ta chi, Keates, Ashley K., Brady, Stephen, Maguire, Graeme and Stewart, Simon. (2017). Pattern and outcome of heart failure-related hospitalization over 5 years in a remote Australian population: a Retrospective Administrative Data Cohort of 617 Indigenous and non-indigenous cases. Journal of Cardiac Failure. 23(10), pp. 729 - 738. https://doi.org/10.1016/j.cardfail.2017.06.002
Authors | Tuttle, Camilla, Reeves, Matthew, Zhong Hu, Ta chi, Keates, Ashley K., Brady, Stephen, Maguire, Graeme and Stewart, Simon |
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Abstract | Objective The aim of this work was to understand the pattern and outcomes for heart failure (HF)–related hospitalization among Indigenous and non-Indigenous patients living in Central Australia. Methods and Results A retrospective analysis of administrative data for patients presenting with a primary or secondary diagnosis of HF to Central Australia's Alice Springs Hospital during 2008–2012 was performed. The population rate of admission and subsequent outcomes (including mortality and readmission) during the 5-year study period were examined. A total of 617 patients, aged 55.8 ± 17.5 years and 302 (49%) female constituted the study cohort. The 446 Indigenous patients (72%) were significantly younger (50.8 ± 15.9 vs 68.7 ± 14.9; P < .001) and clinically more complex compared with the non-Indigenous patients. Annual prevalence of any HF hospitalization was markedly higher in the Indigenous population (1.9%, 95% CI 1.7–2.1) compared with the non-Indigenous population (0.5%, 95% CI 0.4–0.6); the greatest difference being for women. Overall, non-Indigenous patients had poorer outcomes and were significantly more likely to die (P < .0001), but this was largely driven by age differences. Alternatively, Indigenous patients were significantly more likely to have a higher number of hospitalizations, although indigeneity was not a predictor for 30- or 365-day rehospitalization from the index admission. Conclusion The pattern of HF among Indigenous Australians in Central Australia is characterized by a younger population with more clinically complex cases and greater health care utilization. |
Year | 2017 |
Journal | Journal of Cardiac Failure |
Journal citation | 23 (10), pp. 729 - 738 |
Publisher | Churchill Livingstone |
ISSN | 1071-9164 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.cardfail.2017.06.002 |
Scopus EID | 2-s2.0-85023611315 |
Page range | 729 - 738 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
Editors | P. J. Hauptman |
https://acuresearchbank.acu.edu.au/item/8q654/pattern-and-outcome-of-heart-failure-related-hospitalization-over-5-years-in-a-remote-australian-population-a-retrospective-administrative-data-cohort-of-617-indigenous-and-non-indigenous-cases
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