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Research Article: Examining the Burden of Potentially Avoidable Heart Failure Hospitalizations

Date Published: 2023-09-29

Abstract:
Congestive heart failure (CHF) remains a frequent cause of hospitalization. According to the Agency for Healthcare Research and Quality’s (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) database, in the year alone, there were nearly ½ million discharges with CHF in the US. One-fifth of these were specifically for the management of heart failure as the principal reason for hospitalization. The cost for these admissions totaled US $ billion in aggregate. Loop diuretics are the mainstay for managing fluid status in patients with heart failure. Unfortunately, in the presence of worsening congestion the absorption of oral loop diuretics is reduced, and their effectiveness is blunted., For this reason, it is not surprising that out of CHF admissions occur specifically for the treatment of volume overload with intravenous (IV) therapy. Moreover, nearly all of such hospitalizations are deemed uncomplicated since the sole intervention required is the IV agent to facilitate diuresis, and the dosage of the diuretic remains stable throughout the hospitalizations (without any need for escalation). On average, such patients spend about days in the hospital.

Introduction:
Congestive heart failure (CHF) remains a frequent cause of hospitalization. According to the Agency for Healthcare Research and Quality’s (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) database, in the year alone, there were nearly ½ million discharges with CHF in the US. One-fifth of these were specifically for the management of heart failure as the principal reason for hospitalization. The cost for these admissions totaled US $ billion in aggregate. Loop diuretics are the…

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