Significant and constant increase in hospitalization due to heart failure in Spain over 15â¯year period.
Eur J Intern Med
; 64: 48-56, 2019 Jun.
Article
en En
| MEDLINE
| ID: mdl-30827807
ABSTRACT
BACKGROUND:
To examine trends in the incidence, characteristics, and in-hospital outcomes of heart failure (HF) hospitalizations from 2001 to 2015 in Spain.METHODS:
Using the Spanish National Hospital Discharge Database (SNHDD) we selected admissions with a primary or secondary diagnosis of HF. The primary end points were trends in the incidence of hospitalizations and in-hospital mortality (IHM). Trends with primary and secondary diagnosis of HF were evaluated separately.RESULTS:
The incidence of HF coding increased significantly from 466.16 cases per 100,000 inhabitants in 2001-03 to 780.4 in 2013-15 (pâ¯<â¯.001). Age increased over time (76.33⯱â¯10.92â¯years in 2001-03 vs. 79.4⯱â¯10.78â¯years in 2013-15; pâ¯<â¯.001). We found a decrease in the percentage of women over the study period (53.07% vs. 52%; pâ¯<â¯.001). We detected a significant increase in comorbidity according to the Charlson Comorbidity Index over time (mean 2.17⯱â¯0.98 in 2001-03 vs. 2.46⯱â¯1.04 in 2013-15). The most common associated comorbidities were atrial fibrillation (42.23%), hypertension (38.87%) and type 2 diabetes (34.3%). For the total time period, IHM was 12.79%. IHM decreased significantly over time from 13.47% in 2001-03 to 12.30% in 2013-15. Patients with HF coded as a secondary diagnosis have 66% higher risk of dying in the hospital that those with HF coded as a primary diagnosis.CONCLUSIONS:
This research shows an increase of hospitalizations due to HF in Spain, particularly in patients with HF as a secondary diagnosis. Advance age and comorbidity in acute HF has increased in the recent years. However, IHM is decreasing while readmissions remain stable.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Mortalidad Hospitalaria
/
Insuficiencia Cardíaca
/
Hospitalización
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Aged
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Aged80
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Female
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Humans
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Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Eur J Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2019
Tipo del documento:
Article
País de afiliación:
España