Chest
Volume 146, Issue 2, August 2014, Pages 476-495
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CDC PH Surveillance
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Pulmonary Hypertension Surveillance: United States, 2001 to 2010

https://doi.org/10.1378/chest.14-0527Get rights and content
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Pulmonary hypertension (PH) is an uncommon but progressive condition, and much of what we know about it comes from specialized disease registries. With expanding research into the diagnosis and treatment of PH, it is important to provide updated surveillance on the impact of this disease on hospitalizations and mortality. This study, which builds on previous PH surveillance of mortality and hospitalization, analyzed mortality data from the National Vital Statistics System and data from the National Hospital Discharge Survey between 2001 and 2010. PH deaths were identified using International Classification of Diseases, Tenth Revision codes I27.0, I27.2, I27.8, or I27.9 as any contributing cause of death on the death certificate. Hospital discharges associated with PH were identified using International Classification of Diseases, Ninth Revision, Clinical Modification codes 416.0, 416.8, or 416.9 as one of up to seven listed medical diagnoses. The decline in death rates associated with PH among men from 1980 to 2005 has reversed and now shows a significant increasing trend. Similarly, the death rates for women with PH have continued to increase significantly during the past decade. PH-associated mortality rates for those aged 85 years and older have accelerated compared with rates for younger age groups. There have been significant declines in PH-associated mortality rates for those with pulmonary embolism and emphysema. Rates of hospitalization for PH have increased significantly for both men and women during the past decade; for those aged 85 years and older, hospitalization rates have nearly doubled. Continued surveillance helps us understand and address the evolving trends in hospitalization and mortality associated with PH and PH-associated conditions, especially regarding sex, age, and race/ethnicity disparities.

Abbreviations

AAPC
average annual percent change
AI/AN
American Indian/Alaska native
APC
annual percent change
ICD-9-CM
International Classification of Diseases, Ninth Revision, Clinical Modification
ICD-10
International Classification of Diseases, 10th Revision
NH
non-Hispanic
NHDS
National Hospital Discharge Survey
NIH
National Institutes of Health
PAH
pulmonary arterial hypertension
PH
pulmonary hypertension
REVEAL Registry
Registry to Evaluate Early and Long-term PAH Disease Management
UCOD
underlying cause of death

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