Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10501
Title: 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.
Authors: Tuttle, Camilla
Reeves, Matthew
Zhong Hu, Ta-Chi
Keates, Ashley K
Brady, Stephen
Maguire, Graeme
Stewart, Simon
Affiliation: Baker IDI Heart and Diabetes Institute, Alice Springs, Northern Territory, Australia; Mary MacKillop Institute for Health Research, Melbourne, Victoria, Australia..
Alice Springs Hospital, Alice Springs, Northern Territory, Australia..
Alice Springs Hospital, Alice Springs, Northern Territory, Australia..
Mary MacKillop Institute for Health Research, Melbourne, Victoria, Australia..
Alice Springs Hospital, Alice Springs, Northern Territory, Australia..
Baker IDI Heart and Diabetes Institute, Alice Springs, Northern Territory, Australia; Cairns Clinical School, School of Medicine, James Cook University, Cairns, Queensland, Australia..
Baker IDI Heart and Diabetes Institute, Alice Springs, Northern Territory, Australia; Mary MacKillop Institute for Health Research, Melbourne, Victoria, Australia. Electronic address: simon.stewart@acu.edu.au..
Issue Date: Oct-2017
Citation: Journal of cardiac failure 2017-10; 23(10): 729-738
Abstract: 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. 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. 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.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10501
DOI: 10.1016/j.cardfail.2017.06.002
Type: Journal Article
Subjects: Epidemiology
Indigenous
health outcomes
heart failure
remote
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