Aronow, Wilbert S

Sanaani, Abdallah

Shehu, Merita

Solangi, Zeeshan

Sule, Sachin

Yandrapalli, Srikanth

English

The Touro College and University System

Touro Scholar NYMC Faculty Posters Faculty Spring 3-3-2017 In-Hospital Outcomes and Hospitalizations for Acute Rheumatic Heart Disease: A United States National Study Srikanth Yandrapalli Abdallah Sanaani New York Medical College, sanaania@wcmc.com Zeeshan Solangi New York Medical College, zeeshan_solangi@nymc.edu Merita Shehu New York Medical College, ShehuM@wcmc.com Sachin Sule New York Medical College See next page for additional authors Follow this and additional works at: https://touroscholar.touro.edu/nymc_fac_posters  Part of the Cardiovascular Diseases Commons, and the Health and Medical Administration Commons Recommended Citation Yandrapalli, S., Sanaani, A., Solangi, Z., Shehu, M., Sule, S., & Aronow, W. S. (2017). In-Hospital Outcomes and Hospitalizations for Acute Rheumatic Heart Disease: A United States National Study. Retrieved from https://touroscholar.touro.edu/nymc_fac_posters/33 This Poster is brought to you for free and open access by the Faculty at Touro Scholar. It has been accepted for inclusion in NYMC Faculty Posters by an authorized administrator of Touro Scholar. For more information, please contact daloia@nymc.edu. Authors Srikanth Yandrapalli, Abdallah Sanaani, Zeeshan Solangi, Merita Shehu, Sachin Sule, and Wilbert S. Aronow This poster is available at Touro Scholar: https://touroscholar.touro.edu/nymc_fac_posters/33       In-hospital Outcomes and Hospitalizations for Acute Rheumatic Heart Disease:  A United States National Study Srikanth Yandrapalli, Sohaib Tariq, Venkat Vuddanda, Abdallah Sanaani, Zeeshan Solangi, Viswajit Reddy Anugu, Pratik Mondal, Shehu Merita, Sachin Sule, Wilbert S. Aronow. New York Medical College at Westchester Medical Center, Valhalla, New York.   Results Conclusion Methods  Background   • Acute rheumatic heart disease (ARHD) is a serious manifestation of acute rheumatic fever (ARF) and can result in long-term cardiac complications.  • Literature suggests that the incidence of ARF is declining in the United States (US).  • However, the secular variation of ARHD has not been investigated in the United States. • Nationwide Inpatient Sample databases from 2003 through 2012 were queried for hospitalizations with a primary discharge diagnosis of ARF or ARHD using ICD-9 codes (390, 391.x, 392.x). • Hospitalizations primarily for ARF which also had a secondary diagnosis of ARHD were identified and analyzed as a separate cohort.  • Regression analysis was used to analyze outcomes. .  Results • Hospitalizations for ARHD represented a very small proportion (0.002%) of the total hospitalizations in the US between the years 2003-2012.  • Hospitalizations primarily or secondarily for ARHD have decreased by around 50% between 2003-2012 (Ptrend<0.005). • Of the 11,186 hospitalizations for ARF (mean patient age 46±28 years; 53.8% women; 50.4% white), a primary or secondary diagnosis of ARHD was present in 6,866 (61.4%) (mean patient age 55±27 years; 57.4% women; 54.2% white). ARHD in ARF patients decreased from 63% in 2003 to 55.9% in 2012 (Ptrend< 0.005). • Among patients hospitalized for ARF, the likelihood of having ARHD is increased in female sex and white race (both P<0.005).  • ARHD is more common (28%, P<0.005) in patients in the lowest quartile of median household income (US $ 1-38,999).   • ARHD is uncommon in the US and hospitalizations for ARHD have decreased between 2003 and 2012.  • ARHD is common in patients with ARF and is associated with an increased length of stay, hospital charges, and in-hospital mortality. • More aggressive preventive interventions in low-income areas might help further reduce the burden of this disease. • None of the authors have any relevant disclosures. Disclosures Presented at ACC Scientific Sessions 03/2017, Washington D.C Among patients hospitalized for ARF, ARHD is an independent predictor of increased length of stay (8.4±9.9 vs 6.8±8.5 days in patients with and without ARHD, respectively, P<0.005), increased total hospital charges (US $ 62,926±107,516 vs 46,482±88,796, P<0.005), and increased in-hospital mortality (4.7% vs 3% in patients with and without ARHD, respectively, P<0.005).    2003 2012   Hospitalizations for ARHD (primary and secondary) 1700 hospitalizations 1240 hospitalizations P< 0.005   ARHD in patients hospitalized for ARF   63%  55.9%   P< 0.005 

In-Hospital Outcomes and Hospitalizations for Acute Rheumatic Heart Disease: A United States National Study

https://touroscholar.touro.edu/cgi/viewcontent.cgi?article=1020&amp;context=nymc_fac_posters

In-Hospital Outcomes and Hospitalizations for Acute Rheumatic Heart Disease: A United States National Study

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