Heart failure & cardiomyopathies

National Trends and Disparities in Heart Failure Hospitalizations and Inpatient Outcomes Between 2010-2022

JACC Heart FailPublished Retrospective cohort study

Authors' conclusion

This longitudinal analysis of U.S. hospitalizations from 2010 to 2022 revealed that HF hospitalizations began increasing in 2014, peaked in 2019, and then declined sharply in 2020, a trend that persisted through 2022, with a more pronounced decline among adults aged >64 years.

Study context

Population
US adults hospitalized for heart failure (HF), 2010–2022
Participants
14,287,733 weighted hospitalizations
Exposure
<65 years vs >64 years
Outcome
Age-standardized HF hospitalization rates and in-hospital mortality trends
Follow-up
2010–2022
Methodological detailsNational Inpatient Sample database, age-standardized
  • National Inpatient Sample database
  • Age-standardized

Main finding

As reported in the abstract

Age-standardized HF hospitalizations per 100,000 US population
2010 to 2014: nonsignificant change, 406 to 381
P = 0.14
Increase to 447 in 2018
P = 0.002
Decline to 395 in 2022
P = 0.002
In-hospital mortality did not improve 2010–2022; significant uptrend in 2020 vs 2010-2019
P = 0.001

Observational data: associations, not effects.

Further findings

Outcome<65 years>64 years
HF hospitalizations by age group, 2010 to 2022
Hospitalizations (2010 to 2022)124 to 1611,775 to 1,525
Average annual percentage change2.2 (95% CI: 1.6-2.8); P < 0.001−1.2 (95% CI: −2.8 to 0.9)

Hospitalization rates by hospital location and insurer

Declined at rural hospitals; increased among Medicare and Medicaid insurers
P < 0.05

Original publication

National Trends and Disparities in Heart Failure Hospitalizations and Inpatient Outcomes Between 2010-2022. JACC Heart Fail. Published 1 December 2025. doi:10.1016/j.jchf.2025.102777

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