Hospital episode statistics show that in 2000/01 there were just under 74,500 hospitalisations in National Health Service hospitals in England where heart failure was the principal diagnosis. These represent 1% of all inpatient cases in men and 0.4% in women.
The average length of stay for a patient admitted to hospital with heart failure is over 13 days, three times the average length of stay for all patients. Overall, there were about 1,000,000 days of inpatient care due to heart failure in 2000/01, representing just under 2% of all inpatient bed days in England.
Heart failure accounts for an even higher proportion of hospitalisations in Scotland. Scottish Morbidity Record Scheme statistics show that in 1996, 1.1% of all hospital admissions and 1.4% of all inpatient bed days were due to hospitalisations where the principal diagnosis was heart failure, with another 1.5% of all hospital admissions and 1.9% of all inpatient days due to hospitalisations where heart failure was a secondary diagnosis1.
In the last ten years, the number of hospital admissions for heart failure in England, has increased by around 5% in men and 4% in women aged 45 years and over. Hospital admissions for heart failure have also increased in Scotland, for which earlier trend data are available. Here, between 1980 and 1996, hospitalisations for heart failure as the principal diagnosis, increased by just under 75% in men and 45% in women, and hospitalisations for heart failure as either the principal or secondary diagnosis, increased by around 105% in men and 85% in women.
In both countries, admission rates peaked in 1993/1994. However, due to an aging population, the total number of admissions for heart failure in the UK are likely to continue to increase substantially in the future. In England, hospital admissions for heart failure are projected to increase by over 50% over the next 25 years, from 74,500 in 2000/01 (Table 4.3) to 113,000 in 2026/27.
1. Stewart S, MacIntyre K, MacLeod MMC, Bailey AEM, Capewell S, and McMurray JJV (2001) Trends in hospitalisation for heart failure in Scotland, 1990-1996. An epidemic that has reached its peak? European Heart Journal 22, 209-217.