Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Trends in DVT Hospitalization Rates in Older Adults

Am J Med; ePub 2018 May 10; Minges, et al

The overall deep vein thrombosis (DVT) hospitalization rate in the US declined from 1999 to 2010, but where highest among black patients, a recent study found. Researchers analyzed Medicare standard analytic files from 2015-2017 to identify Fee-for-Service patients aged ≥65 years who had a principal discharge diagnosis for DVT from 1999 to 2010. DVT hospitalization rates per 100,000 person-years were reported as well as 30-day and 1-year mortality rates. Among the findings:

  • There were 726,423 DVT hospitalizations in Medicare Fee-for-Service during the study period.
  • Among black patients, hospitalizations for DVT increased significantly and rates were the highest among black patients.
  • Both short- and long-term mortality and readmission outcomes remained relatively stable across the study period but women had higher rates than men.
  • Hospital length-of-stay decreased from 6.1 days in 1999 to 5.0 days in 2010.

Citation:

Minges KE, Bikdeli B, Wang Y, Attaran RR, Krumholz HM. National and regional trends in deep vein thrombosis hospitalization rates, discharge disposition, and outcomes for Medicare beneficiaries. [Published online ahead of print May 10, 2018]. Am J Med. doi:10.1016/j.amjmed.2018.04.033.

This Week's Must Reads

Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al

Pregnancy History and Risk of Miscarriage, BMJ; ePub 2019 Mar 20; Magnus, et al

Firearms Mortality Among US Schoolchildren, Am J Med; ePub 2019 Mar 25; Rubenstein, et al

Rapid Point of Care Test for Influenza, J Am Board Fam Med; 2019 Mar; Dale, et al

Sleep Disturbance and Chronic Pain Intensity, Clin J Pain; ePub 2019 Mar 25; Burgess, et al

Must Reads in Cardiology

Consumption of SSBs & Risk of Mortality, Circulation; ePub 2019 Mar 18; Malik, et al

Dietary Cholesterol or Egg Consumption & CVD, JAMA; 2019 Mar 19; Zhong, Van Horn, et al

Physical Activity & Incidence of CHD & CVD in Women, JAMA Netw Open; ePub 2019 Mar 15; LaCroix, et al

Intensive BP Control in Adults with Hypertension Who Smoke, JAMA Netw Open; ePub 2019 Mar 8; Scarpa, et al

Leisure-Time Physical Activity Across Adulthood, JAMA Netw Open; ePub 2019 Mar 8; Saint-Maurice, et al