Clinical Edge

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HF Hospitalizations & Substance Abuse Disorders

Am J Med; ePub 2018 Dec 15; Snow, et al

Among patients hospitalized for heart failure (HF), tobacco or substance use disorders are more common among males, younger age groups, lower socioeconomic status, and select racial/ethnic minorities. This according to a recent study that calculated the proportion of primary HF hospitalizations in the 2014 National Inpatient Sample with tobacco or substance use disorders, accounting for demographic factors. Researchers found:

  • 15.5% of HF hospitalizations (n=152,965) in the US had documented tobacco (12.1%) or substance (6.2%) use disorder.
  • Female sex was associated with lower rates of tobacco and substance use disorder.
  • Tobacco or substance use disorders were more common among males and highest for hospitalization aged <55 years.
  • Enhanced screening for tobacco and substance use disorders in hospitalized HF patients may reveal opportunities for treatment and secondary prevention.


Snow SC, Fonarow GC, Ladapo JA, Washington DL, Hoggatt KJ, Ziaeian B. National rate of tobacco and substance use disorders among hospitalized heart failure patients. [Published online ahead of print December 15, 2018]. Am J Med. doi:10.1016/j.amjmed.2018.11.038.