Longitudinal Trajectories of Hospitalizations in U.S. Older Adults with Heart Failure
{"BACKGROUND:":[0],"Little":[1],"is":[2,43],"known":[3],"about":[4],"long-term":[5,21,256],"risks":[6,153,167],"of":[7,23,28,76,131,143,171,186],"hospitalizations":[8,24,78],"among":[9,217],"heart":[10],"failure":[11],"(HF)":[12],"older":[13],"adults":[14],"at":[15,168,240],"a":[16,44],"national":[17],"level.":[18],"We":[19],"identified":[20,37,73,127,239],"patterns":[22],"following":[25],"the":[26,110,241],"diagnosis":[27],"HF":[29,57,116,235],"and":[30,62,101,123,175,200,209,221],"assessed":[31,98],"whether":[32],"high-risk":[33],"patients":[34,197,218,236],"can":[35],"be":[36,238],"prior":[38],"to":[39,50,66,85,90,195,254],"discharge.":[40],"METHODS:":[41],"This":[42],"retrospective":[45],"cohort":[46],"study":[47],"from":[48],"2010":[49],"2020.":[51],"Fee-for-service":[52],"Medicare":[53,112],"beneficiaries":[54,113],"with":[55,114,228],"newly-diagnosed":[56,115],"during":[58,79,251],"an":[59],"inpatient":[60],"stay":[61],"followed":[63],"for":[64],"up":[65],"5":[67],"years.":[68],"Group-based":[69],"trajectory":[70],"models":[71],"(GBTM)":[72],"4":[74,128,177],"trajectories":[75,130,193],"all-cause":[77],"follow-up.":[80],"LASSO":[81],"regression":[82],"was":[83,97,103,214],"used":[84],"identify":[86],"patients'":[87],"baseline":[88],"characteristics":[89],"predict":[91],"their":[92],"hospitalization":[93,192],"trajectories.":[94],"Model":[95],"discrimination":[96],"using":[99,105,243],"C-statistics":[100,201],"calibration":[102,222],"evaluated":[104],"expected-to-observed":[106,229],"ratios.":[107],"RESULTS:":[108],"Of":[109],"84,597":[111],"(mean":[117],"age:":[118],"77.4":[119],"[±":[120],"7.1]":[121],"years":[122,220],"58.3%":[124],"male),":[125],"we":[126],"distinct":[129],"hospitalizations:":[132],"Group":[133,145,159,176],"1":[134],"(n":[135,147,161,178],"=":[136,148,162,179],"19,340;":[137],"22.9%)":[138],"had":[139,151,165,182],"consistently":[140,183,215],"\\"low":[141],"risks\\"":[142,185],"hospitalization,":[144],"2":[146],"53,922;":[149],"57.9%)":[150],"elevated":[152,166],"shortly":[154],"after":[155],"discharge":[156],"(\\"high-to-low":[157],"risk\\"),":[158,174],"3":[160],"5,035;":[163],"9.8%)":[164],"later":[169],"stages":[170],"illness":[172],"(\\"low-to-high":[173],"6,300;":[180],"9.4%)":[181],"\\"high":[184],"hospitalization.":[187],"Models":[188],"were":[189,202],"well-calibrated":[190],"predicting":[191],"(compared":[194],"low-risk":[196],"[Group":[198],"1]),":[199],"0.65":[203],"(Group":[204,207,211],"2),":[205],"0.68":[206],"3),":[208],"0.79":[210],"4).":[212],"Discrimination":[213],"better":[216],"≤70":[219],"remained":[223],"excellent":[224],"across":[225],"all":[226],"subgroups":[227],"ratios":[230],"near":[231],"1.0.":[232],"CONCLUSIONS:":[233],"High-risk":[234],"could":[237],"time-of-diagnosis":[242],"routinely":[244],"available":[245],"clinical":[246],"characteristics,":[247],"enabling":[248],"targeted":[249],"interventions":[250],"critical":[252],"periods":[253],"improve":[255],"outcomes.":[257]}
Authors
- Radha Dhingra (ORCID: https://orcid.org/0000-0003-1921-9136)
- Scott M. Lynch (ORCID: https://orcid.org/0000-0002-6795-1199)
- Eric D. Peterson (ORCID: https://orcid.org/0000-0002-5415-4721)
- Bradley G. Hammill (ORCID: https://orcid.org/0000-0002-0389-6434)
- Jessica West (ORCID: https://orcid.org/0000-0001-8320-8998)
- Michael D. Green (ORCID: https://orcid.org/0000-0002-4982-8154)
- Lesley H Curtis
- Hanzhang Xu
- Matthew E Dupre
- Zhen Li
Institutions
- Johns Hopkins University (US)
- Duke University (US)
- Clinical Research Institute (US)
- Duke-NUS Medical School (SG)
- Duke University Health System (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- The Journals of Gerontology Series A
- Published
- 2026-09-16
- DOI
- https://doi.org/10.1093/gerona/glag233
- Primary Topic
- Heart Failure Treatment and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00