Document Detail


Hospitalization rates and length of stay for cardiovascular conditions in Canada, 1994 to 1999.
MedLine Citation:
PMID:  14532937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cardiovascular diseases (CVDs) are a leading cause of hospitalization in Canada. An examination of recent trends in cardiovascular hospitalization rates across Canada is of considerable value and interest to health policy decision makers and administrators, clinicians and researchers. OBJECTIVES: To examine temporal trends and regional variation in hospitalization rates and length of stay for CVD conditions in Canada. METHODS: Hospital discharge data for fiscal years 1994/95 to 1999/2000 were used to identify all Canadians who were hospitalized with the most responsible diagnoses of acute myocardial infarction (AMI), congestive heart failure (CHF), angina and chest pain. Direct age- and sex-standardized hospitalization rates were calculated by province and health region. Length of stay (LOS) for episodes of hospital care were adjusted for age, sex and cardiac procedures using ordinary least squares regression. RESULTS: Overall, AMI, angina and chest pain hospitalization rates increased 6%, 8% and 11%, respectively, between fiscal years 1994/95 and 1999/2000 and decreased by 7% for CHF in Canada. There was wide regional variation in cardiovascular hospitalization rates in Canada, with the greatest variation seen in CHF, chest pain and angina, and the least seen in AMI. There was a modest downward trend in adjusted LOS between fiscal years 1994/95 and 1999/2000. In general, patients hospitalized in provinces in western Canada and Ontario had shorter LOS for all conditions when compared with those in Quebec and the eastern provinces. CONCLUSIONS: AMI, angina and chest pain hospitalization rates in Canada increased between fiscal years 1994/95 and 1999/2000, while CHF rates declined. There is considerable regional variation in the cardiovascular hospitalization rates across the country that may be amenable to further interventional strategies.
Authors:
Ruth E Hall; Jack V Tu;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  19     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-10-08     Completed Date:  2003-10-23     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1123-31     Citation Subset:  IM    
Affiliation:
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada. ruth@ices.on.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Angina Pectoris / epidemiology,  therapy
Canada / epidemiology
Female
Heart Diseases / epidemiology,  therapy*
Heart Failure / epidemiology,  therapy
Hospitalization / statistics & numerical data*
Humans
Least-Squares Analysis
Length of Stay / statistics & numerical data
Male
Middle Aged
Myocardial Infarction / epidemiology,  therapy
Small-Area Analysis
Utilization Review
Comments/Corrections
Comment In:
Can J Cardiol. 2003 Sep;19(10):1114-5   [PMID:  14532935 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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