A study presented Sunday at the American Heart Association
meeting in New Orleans revealed that heart
failure hospitalization rate has risen dramatically among seniors in the United States
in the past 3 decades.
Heart failure is a chronic disease, which occurs when any
part of the heart muscle weakens and the heart can’t supply the body’s cells
with enough oxygen and nutrient-rich blood. The condition makes daily
activities harder to deal with due to fatigue and shortness of breath. Nearly
5.3 million Americans live with heart failure and 660,000 new cases are
diagnosed each year, according to estimates of the American Heart Association.
The study, led by Longjian Liu, M.D., Ph.D., M.Sc.,
associate professor of Epidemiology and Biostatistics of the Drexel University
School of Public Health in Philadelphia, Pa., involved
data on more than 2.2 million patients (age 65 or older) enrolled in the
National Hospital Discharge Surveys between 1980 and 2006. It found the number
of patients 65 and older who were hospitalized for heart failure increased 131
percent to 807,082 in 2006, from 348,866 in 1980.
For women, rates rose from 13.95 hospitalizations per 1,000
members of the population to 19.58 in 2006. For men, rates rose from 16.57
hospitalizations per 1,000 members of the population in 1980 to 22.87 in 2006. Moreover,
patients ages 75-84 had twice the risk of being hospitalized for heart failure
than those 65-74, while those age 85 or older had four times more risk of
hospitalization for heart failure than those ages 65-74.
The increase needs to be stopped urgently, but this is not
possible “unless innovative strategies are implemented. The prevention and
treatment of heart failure has become an urgent public health need with
national implications. The key is to prevent risk factors for the disease,” Liu
said.
Risk factors include high blood pressure, heart attack,
stroke, diabetes, obesity, and lifestyle factors such as smoking, lack of
physical exercise and a diet rich in fatty foods. Also, efforts should be made
to prevent chronic kidney disease and pneumonia as they contribute to heart
failure as well.
The situation appears to be out of control. Keeping in mind
that the number of US
adults age 65 and older is going to double to a projected 70 million and more
than one in five will be 65 or older by 2030, the number of heart failures will
see a major increase, which translates into higher costs for Medicare, the
government’s health insurance program for the elderly.
“That's our dilemma. With the present set of resources, this
elderly population that we're taking care of that we didn't take care of
before, plus the baby boomers, is a double demographic. We will not have the
resources to care for them,” said Vincent Bufalino, clinical associate
professor of medicine at Loyola University Stritch School of Medicine in Chicago.
According to the American Heart Association, heart failure
is expected to cost $34.8 billion in the US this year. Making a quick account,
it’s not hard to guess where that is going to lead in the years to come:
economy failure.