CVD Hospitalization Rates in Diabetes Decreased in 1998-2014
Rates in the population with diabetes remained 2 to 4 times higher than for the population without diabetes by 2014, with the largest difference seen for heart failure rates.
HealthDay News — Cardiovascular disease (CVD) hospitalization rates have declined in recent years among individuals with and those without diabetes, according to a study published online in Diabetes Care.
Nilka Ríos Burrows, MPH, from the US Centers for Disease Control and Prevention in Atlanta, and colleagues estimated the number of discharges having acute coronary syndrome (ACS), cardiac dysrhythmia, heart failure, hemorrhagic stroke, or ischemic stroke as first-listed diagnosis and diabetes using 1998 to 2014 National Inpatient Sample data.
The hospitalization rates were calculated for adults aged ≥35 years using estimates from the population with and the population without diabetes. Trends were analyzed and the average annual percentage change (AAPC) was calculated.
The researchers observed significant declines in the age-adjusted hospitalization rates for ACS (AAPC, −4.6% per year), cardiac dysrhythmia (−0.7%), heart failure (−3.6%), hemorrhagic stroke (−1.1%), and ischemic stroke (−2.9%) from 1998 to 2014 in the population with diabetes.
Significant declines in the rates for these conditions were also seen in the population without diabetes, with the exception of dysrhythmia. Rates in the population with diabetes remained 2 to 4 times higher than for the population without diabetes by 2014, with the largest difference seen for heart failure rates.
"CVD hospitalization rates declined significantly in both the population with diabetes and the population without diabetes," the authors write.
Burrows NR, Li Y, Gregg EW, Geiss LS. Declining rates of hospitalization for selected cardiovascular disease conditions among adults aged ≥35 years with diagnosed diabetes, US, 1998-2014 [published online November 17, 2017]. Diabetes Care. doi: 10.2337/dc17-1259