Ambrosy Andrew P, Gheorghiade Mihai, Chioncel Ovidiu, Mentz Robert J, Butler Javed
Division of Cardiology, Duke University Medical Center, Durham, NC, USA.
Curr Heart Fail Rep. 2014 Dec;11(4):416-27. doi: 10.1007/s11897-014-0221-9.
Heart failure (HF) is a public health problem of global proportions afflicting more than 25 million patients worldwide. Despite stable or declining per capita hospitalization rates in the USA and several European countries, there are over one million hospitalizations for HF annually in the USA, with similar numbers in Europe, accounting for 6.5 million hospital days and the majority of the approximately $40 billion spent each year on HF-related care. Moreover, clinical trial data suggest that post-discharge survival and readmissions have largely remained unchanged. Thus, understanding geographic and ethnic variations in HF is essential to formulating public policy at the local, national, regional, and international levels and setting the agenda for basic, translational, and clinical research endeavors. This paper aims to describe regional and ethnic variations in patient characteristics, management, and outcomes in hospitalized HF.
心力衰竭（HF）是一个全球性的公共卫生问题，全球有超过2500万患者受其影响。尽管美国和几个欧洲国家的人均住院率保持稳定或有所下降，但美国每年仍有超过100万例因心力衰竭住院的病例，欧洲的情况类似，这导致每年有650万个住院日，以及每年约400亿美元用于心力衰竭相关护理费用中的大部分。此外，临床试验数据表明，出院后的生存率和再入院率基本保持不变。因此，了解心力衰竭在地理和种族上的差异对于在地方、国家、区域和国际层面制定公共政策以及为基础、转化和临床研究工作设定议程至关重要。本文旨在描述住院心力衰竭患者在特征、管理和结局方面的区域和种族差异。
