Abstract

Background Cardiovascular diseases and specifically Heart failure (HF) is a common cause for morbidity and mortality among end stage renal disease (ESRD) patients on dialysis. We aimed to assess trends and outcomes in primary HF hospitalizations among ESRD patients utilizing a nationally representative database. Methods We utilized data from the National Inpatient Sample and the US Census Bureau to calculate annual national rates of primary HF admissions, in-hospital mortality, length of stay and disposition among patients with End-Stage Renal Disease (ESRD) on dialysis for years 2001 to 2014. Results An estimated 812,090 primary HF admissions occurred during the study period. Rates of admissions increased from 2001 to 2006 and decrease from 2007 to 2014 (Figure). We found a significant decline of in-hospital mortality with annual percentage change of -3.1% (p Conclusion Among ESRD patients on dialysis hospitalized for HF, in-hospital mortality and length of stay decreased significantly from 2001 to 2014.

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