Development and Preliminary Evaluation of an Innovation Advanced Chronic Disease Care Model 2013 Sep JCOM; 20(9)


Innovative Care Model in Chronic Disease Management

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Available from: Daniel Richard Hoefer, Sep 30, 2015
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    ABSTRACT: Heart failure (HF) has emerged as a major public health issue and is among the most significant causes of morbidity and mortality for older adults in Western countries. Acute HF syndromes (AHFS) encompass many important etiologies and comorbidities. There are several different clinical definitions and classifications of AHFS that are based on their clinical picture and pathophysiology. These definitions and classifications should, at best, serve to individually tailor diagnostics and therapy. Another important application of these definitions and classifications is to help guide future clinical trials in AHFS. The epidemiology of AHFS has been studied in large and small registries and surveys in both North America and Europe. The properties of the population of patients with acute HF are discussed in light of these data.
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    ABSTRACT: KEY FINDINGS: Data from the National Hospital Discharge Survey, 2000-2010 There were 1 million hospitalizations for congestive heart failure (CHF) in 2000 and in 2010. Most CHF hospitalizations were for those aged 65 and over, but the proportion under age 65 increased significantly from 23% in 2000 to 29% in 2010. The overall rate of CHF hospitalization per 10,000 population did not change significantly from 2000 to 2010 (35.5 compared with 32.8), but the trends were different for those under and over age 65. From 2000 to 2010, the rate of CHF hospitalization for males under age 65 increased significantly while the rate for females aged 65 and over decreased significantly. In both 2000 and in 2010, a greater share of inpatients under age 65, compared with those aged 65 and over, were discharged to their homes.
    NCHS data brief 10/2012; 108(108):1-8.
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