Uncovering a hidden epidemic: A study of the current burden of heart failure in Australia

Robyn A. Clark, Skye McLennan, Anna Dawson, David Wilkinson, Simon Stewart

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Background. Australia, like other countries, is experiencing an epidemic of heart failure (HF). However, given the lack of national and population-based datasets collating detailed cardiovascular-specific morbidity and mortality outcomes, quantifying the specific burden imposed by HF has been difficult. Methods. Australian Bureau of Statistics (ABS data) for the year 2000 were used in combination with contemporary, well-validated population-based epidemiologic data to estimate the number of individuals with symptomatic and asymptomatic HF related to both preserved (diastolic dysfunction) and impaired left ventricular systolic (dys)function (LVSD) and rates of HF-related hospitalisation. Results. In 2000, we estimate that around 325,000 Australians (58% male) had symptomatic HF associated with both LVSD and diastolic dysfunction and an additional 214,000 with asymptomatic LVSD. 140,000 (26%) live in rural and remote regions, distal to specialist health care services. There was an estimated 22,000 incidents of admissions for congestive heart failure and approximately 100,000 admissions associated with this syndrome overall. Conclusion. Australia is in the midst of a HF epidemic that continues to grow. Overall, it probably contributes to over 1.4 million days of hospitalization at a cost of more than $1 billion. A national response to further quantify and address this enormous health problem is required.

LanguageEnglish
Pages266-273
Number of pages8
JournalHeart Lung and Circulation
Volume13
Issue number3
DOIs
Publication statusPublished - 1 Jan 2004

Keywords

  • Australia
  • Chronic heart failure
  • Epidemiology

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Clark, Robyn A. ; McLennan, Skye ; Dawson, Anna ; Wilkinson, David ; Stewart, Simon. / Uncovering a hidden epidemic : A study of the current burden of heart failure in Australia. In: Heart Lung and Circulation. 2004 ; Vol. 13, No. 3. pp. 266-273.
@article{0c6dcb25f5af4230b003e42c706cce33,
title = "Uncovering a hidden epidemic: A study of the current burden of heart failure in Australia",
abstract = "Background. Australia, like other countries, is experiencing an epidemic of heart failure (HF). However, given the lack of national and population-based datasets collating detailed cardiovascular-specific morbidity and mortality outcomes, quantifying the specific burden imposed by HF has been difficult. Methods. Australian Bureau of Statistics (ABS data) for the year 2000 were used in combination with contemporary, well-validated population-based epidemiologic data to estimate the number of individuals with symptomatic and asymptomatic HF related to both preserved (diastolic dysfunction) and impaired left ventricular systolic (dys)function (LVSD) and rates of HF-related hospitalisation. Results. In 2000, we estimate that around 325,000 Australians (58{\%} male) had symptomatic HF associated with both LVSD and diastolic dysfunction and an additional 214,000 with asymptomatic LVSD. 140,000 (26{\%}) live in rural and remote regions, distal to specialist health care services. There was an estimated 22,000 incidents of admissions for congestive heart failure and approximately 100,000 admissions associated with this syndrome overall. Conclusion. Australia is in the midst of a HF epidemic that continues to grow. Overall, it probably contributes to over 1.4 million days of hospitalization at a cost of more than $1 billion. A national response to further quantify and address this enormous health problem is required.",
keywords = "Australia, Chronic heart failure, Epidemiology",
author = "Clark, {Robyn A.} and Skye McLennan and Anna Dawson and David Wilkinson and Simon Stewart",
year = "2004",
month = "1",
day = "1",
doi = "10.1016/j.hlc.2004.06.007",
language = "English",
volume = "13",
pages = "266--273",
journal = "Heart, lung & circulation",
issn = "1443-9506",
publisher = "Wiley-Blackwell",
number = "3",

}

Uncovering a hidden epidemic : A study of the current burden of heart failure in Australia. / Clark, Robyn A.; McLennan, Skye; Dawson, Anna; Wilkinson, David; Stewart, Simon.

In: Heart Lung and Circulation, Vol. 13, No. 3, 01.01.2004, p. 266-273.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Uncovering a hidden epidemic

T2 - Heart, lung & circulation

AU - Clark, Robyn A.

AU - McLennan, Skye

AU - Dawson, Anna

AU - Wilkinson, David

AU - Stewart, Simon

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Background. Australia, like other countries, is experiencing an epidemic of heart failure (HF). However, given the lack of national and population-based datasets collating detailed cardiovascular-specific morbidity and mortality outcomes, quantifying the specific burden imposed by HF has been difficult. Methods. Australian Bureau of Statistics (ABS data) for the year 2000 were used in combination with contemporary, well-validated population-based epidemiologic data to estimate the number of individuals with symptomatic and asymptomatic HF related to both preserved (diastolic dysfunction) and impaired left ventricular systolic (dys)function (LVSD) and rates of HF-related hospitalisation. Results. In 2000, we estimate that around 325,000 Australians (58% male) had symptomatic HF associated with both LVSD and diastolic dysfunction and an additional 214,000 with asymptomatic LVSD. 140,000 (26%) live in rural and remote regions, distal to specialist health care services. There was an estimated 22,000 incidents of admissions for congestive heart failure and approximately 100,000 admissions associated with this syndrome overall. Conclusion. Australia is in the midst of a HF epidemic that continues to grow. Overall, it probably contributes to over 1.4 million days of hospitalization at a cost of more than $1 billion. A national response to further quantify and address this enormous health problem is required.

AB - Background. Australia, like other countries, is experiencing an epidemic of heart failure (HF). However, given the lack of national and population-based datasets collating detailed cardiovascular-specific morbidity and mortality outcomes, quantifying the specific burden imposed by HF has been difficult. Methods. Australian Bureau of Statistics (ABS data) for the year 2000 were used in combination with contemporary, well-validated population-based epidemiologic data to estimate the number of individuals with symptomatic and asymptomatic HF related to both preserved (diastolic dysfunction) and impaired left ventricular systolic (dys)function (LVSD) and rates of HF-related hospitalisation. Results. In 2000, we estimate that around 325,000 Australians (58% male) had symptomatic HF associated with both LVSD and diastolic dysfunction and an additional 214,000 with asymptomatic LVSD. 140,000 (26%) live in rural and remote regions, distal to specialist health care services. There was an estimated 22,000 incidents of admissions for congestive heart failure and approximately 100,000 admissions associated with this syndrome overall. Conclusion. Australia is in the midst of a HF epidemic that continues to grow. Overall, it probably contributes to over 1.4 million days of hospitalization at a cost of more than $1 billion. A national response to further quantify and address this enormous health problem is required.

KW - Australia

KW - Chronic heart failure

KW - Epidemiology

UR - http://www.scopus.com/inward/record.url?scp=4844231044&partnerID=8YFLogxK

U2 - 10.1016/j.hlc.2004.06.007

DO - 10.1016/j.hlc.2004.06.007

M3 - Article

VL - 13

SP - 266

EP - 273

JO - Heart, lung & circulation

JF - Heart, lung & circulation

SN - 1443-9506

IS - 3

ER -