Heart Failure Incidence and Survival (from the Atherosclerosis Risk in Communities Study)

摘要: Heart failure (HF) is increasing in prevalence the United States. Little data exists on race and gender differences HF incidence rates case fatality. The Atherosclerosis Risk Communities (ARIC) cohort a population-based study from 4 States communities (1987 to 2002). Prevalent cases (n = 750) were identified by self-report excluded. Incident was defined International Classification of Diseases codes for (428.0 428.9, I50) hospitalization 1,206) or death certificate 76). There 1,282 incident over 198,417 person-years. age-adjusted rate (per 1,000 person-years) Caucasian women, 3.4, significantly less compared with all other groups (Caucasian men, 6.0; African-American 8.1; 9.1). Age-adjusted greater African-Americans than Caucasians, but adjustment confounders attenuated difference. adjusted African-American-to-Caucasian hazard ratio 0.86 (95% confidence interval, 0.70 1.06) similarly, 0.93 0.46 1.90) women during second half follow-up. first follow-up 1.79 1.25 2.55). Thirty-day, 1-year, 5-year fatalities following 10.4%, 22%, 42.3%, respectively. had fatality Caucasians (p