Heart failure & cardiomyopathies
Healthcare utilization and left ventricular ejection fraction distribution in methamphetamine use associated heart failure hospitalizations
Authors' conclusion
While the majority of MU-HF hospitalizations are HFrEF, a sizeable minority have HFpEF.
Study context
- Population
- Veterans with a first HF hospitalization in Veterans Affairs (VA) medical centers, 2007–2020
- Participants
- 203,005 first-time HF hospitalizations
- Exposure
- Methamphetamine use associated HF vs HF not associated with methamphetamine use
- MU-HFn = 4,080
- Outcome
- LVEF distribution, methamphetamine use treatment engagement and postdischarge healthcare utilization
Methodological detailsVA Corporate Data Warehouse, left ventricular ejection fraction (LVEF) identified with a validated natural language processing algorithm
- VA Corporate Data Warehouse
- LVEF identified with a validated natural language processing algorithm
Main finding
As reported in the abstract
LVEF
| Group | Value | LVEF ≥ 50% |
|---|---|---|
| MU-HF | Median 30 (IQR 20–45) % | Eighteen percent |
| other-HF | Median 40 (IQR 25–55) % | 28% |
Value
MU-HFMedian 30 (IQR 20–45) %
other-HFMedian 40 (IQR 25–55) %
LVEF ≥ 50%
MU-HFEighteen percent
other-HF28%
- MU-HF vs other-HF: P < 0.0001 — median LVEF
Observational data: associations, not effects.
Further findings
Discharge against medical advice
Post-discharge ED visits and rehospitalizations · 30 days
ED visits
Rehospitalizations
- Methamphetamine use treatment engagement and primary care follow-up (MU-HF) · 30 days post discharge
- 18% · Methamphetamine use treatment engagement · Primary care follow-up 76%
Original publication
Healthcare utilization and left ventricular ejection fraction distribution in methamphetamine use associated heart failure hospitalizations. Am Heart J. Published 11 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →