Trends and Characteristics of Hospitalization for Heart Failure in a Population Setting From 2003 to 2013

Gassó, María L. Fernández; Hernando-Arizaleta, Lauro; Palomar-Rodríguez, Joaquín A.; Soria-Arcos, Federico; Pascual-Figal, Domingo A.

doi:10.1016/j.rec.2017.03.001

Cited by 11 publications

(10 citation statements)

References 20 publications

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“…HF in women at advanced ages typically occurs with preserved ejection fraction, which affects the age in which women are considered for HT. In our series, HT in women was more frequent in the 40‐ to 59‐year group (54.1%) but not in recipients above 60 years (26.6%), which is probably not old enough to reflect the higher HF incidence shown in general population 25,26 . The increase in the percentage of HT in women over the years is due to unusual etiologies and reflects a general trend to expand HT indication to any advanced stage heart failure patient independently of the underlying heart disease as has been recommended 27 .…”

Section: Discussionmentioning

confidence: 54%

Gender differences in heart transplantation: Twenty‐five year trends in the nationwide Spanish heart transplant registry

García‐Cosio

González‐Vílchez

López‐Vilella

et al. 2020

Clinical Transplantation

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The study of gender differences may lead into improvement in patient care. We have aimed to identify the gender differences in heart transplantation (HT) of adult HT recipients in Spain and their evolution in a study covering the years 1993-2017 in which 6740 HT (20.6% in women) were performed. HT indication rate per million inhabitants was lower in women, remaining basically unchanged during the 25-year study period. HT rate was higher in men, although this decreased over the 25-year study period. Type of heart disease differed in men versus women (p < .001): ischemic heart disease 47.6% versus 22.5%, dilated cardiomyopathy 41.3% versus 34.6%, or other 36% versus 17.8%, respectively. Men were more frequently diabetics (18% vs. 13.1% p < .001), hypertensives (33.1% vs. 24% p < .001), and smokers (21.7% vs.

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Section: Discussionmentioning

confidence: 54%

Gender differences in heart transplantation: Twenty‐five year trends in the nationwide Spanish heart transplant registry

García‐Cosio

González‐Vílchez

López‐Vilella

et al. 2020

Clinical Transplantation

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“…initial increase followed by decline). Total HF event rates declined in the US (2006–2014), Western Australia (1990–2005), Sweden (2002–2007) and France (2000–2012) but increased from 2003 up to 2007 and then flattened through 2013 in Spain …”

Section: Discussionmentioning

confidence: 99%

“…Previous publications have shown declines in first‐time (incident) HF hospitalization rates in many Western countries during recent years . Less consistent have been results of trend analyses for total (incident and recurrent) HF hospitalization rates, showing declines in some countries and increase in others . Although incident events account for the majority of HF‐related hospitalizations, recurrences are regarded as an indicator of hospital performance .…”

Section: Introductionmentioning

confidence: 93%

“…[6][7][8][9] Less consistent have been results of trend analyses for total (incident and recurrent) HF hospitalization rates, showing declines in some countries [10][11][12][13] and increase in others. 14 Although incident events account for the majority of HF-related hospitalizations, recurrences are regarded as an indicator of hospital performance. 15 Nevertheless, information on the relationship between trends in incident and total HF hospitalization and the role of recurrences in this relationship is sparse.…”

Section: Introductionmentioning

confidence: 99%

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Heart failure in Norway, 2000–2014: analysing incident, total and readmission rates using data from the Cardiovascular Disease in Norway (CVDNOR) Project

Sulo

Igland

Øverland

et al. 2019

European J of Heart Fail

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Aims To examine trends in heart failure (HF) hospitalization rates and risk of readmissions following an incident HF hospitalization. Methods and results During 2000–2014, we identified in the Cardiovascular Disease in Norway Project 142 109 hospitalizations with HF as primary diagnosis. Trends of incident and total (incident and recurrent) HF hospitalization rates were analysed using negative binomial regression models. Changes over time in 30‐day and 3‐year risk of HF recurrences or cardiovascular disease (CVD)‐related readmissions were analysed using Fine and Grey competing risk regression, with death as competing events. Age‐standardized rates declined on average 1.9% per year in men and 1.8% per year in women for incident HF hospitalizations (both Ptrend < 0.001) but did not change significantly in either men or women for total HF hospitalizations. In men surviving the incident HF hospitalization, 30‐day and 3‐year risk of a HF recurrent event increased 1.7% and 1.2% per year, respectively. Similarly, 30‐day and 3‐year risk of a CVD‐related hospitalization increased 1.5% and 1.0% per year, respectively (all Ptrend < 0.001). No statistically significant changes in the risk of HF recurrences or CVD‐related readmissions were observed among women. In‐hospital mortality for a first and recurrent HF episode declined over time in both men and women. Conclusions Incident HF hospitalization rates declined in Norway during 2000–2014. An increase in the risk of recurrences in the context of reduced in‐hospital mortality following an incident and recurrent HF hospitalization led to flat trends of total HF hospitalization rates.

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“…In our report, in‐hospital mortality during the HF hospitalization was relatively high (~14%) in Poland during 2010–2019. It might be assessed in the context of data from Spain collected almost 10 years ago (2003–2013), where inpatient mortality was estimated at 9% 26,27 . It should be remembered, that during recent decades the clinical profile of patients has significantly changed.…”

Section: Discussionmentioning

confidence: 99%

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

et al. 2020

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Aims Heart failure (HF) remains a major public health challenge worldwide. Contemporary epidemiological data on HF hospitalization rates and related in-hospital mortality are scarce also in Poland. The aim of the study was to determine the trends in hospitalization rates due to HF and related in-hospital mortality in Poland in the recent decade. Methods and results Data on HF hospitalizations and in-hospital mortality in patients aged >17 years in Poland between 2010 and 2019 were obtained from the central database of the Polish National Health Fund. Hospitalizations with either primary or secondary diagnosis of HF were identified using the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes (I50, I42, J81 with extensions, and R57.0). There were 4 259 698 HF hospitalizations and 608 577 in-hospital deaths (14% in-hospital mortality) reported during 2010-2019 in Poland. During this period, there was a steady increase in the number of HF hospitalizations per 1000 inhabitants in subsequent years, being more pronounced in men than in women (in 2019: 16 and 13 HF hospitalizations per 1000 inhabitants in men and women, respectively). The relative risk of HF hospitalization was higher in men than in women, and this gender-related difference steadily increased from 9% in 2010 to 25% in 2019. During 2010-2019, there was an increase in the number of HF hospitalizations per 1000 inhabitants in subsequent age groups, with a trend being more pronounced in men than in women (129 and 99 HF hospitalizations per 1000 inhabitants in men and women aged ≥80 years, respectively). During this period, there was a slight increase in in-hospital mortality during HF hospitalization in subsequent years, being more pronounced in women than in men (in 2019: 16% and 14% of in-hospital mortality in women and men, respectively). The relative risk of in-hospital mortality during HF hospitalization was higher in women than in men, and this gender-related difference steadily increased from 8% in 2010 to 18% in 2019. During this period, in-hospital mortality during HF hospitalization was~12% for women and men aged 18-29 years, whereas the highest values of in-hospital mortality reached~19% for patients aged ≥80 years. Conclusions We have observed steady growing trends in HF hospitalization rates and related in-hospital mortality in Poland over the last decade. Both age and gender have differentiated the reported epidemiological patterns.

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Trends and Characteristics of Hospitalization for Heart Failure in a Population Setting From 2003 to 2013

Cited by 11 publications

References 20 publications

Gender differences in heart transplantation: Twenty‐five year trends in the nationwide Spanish heart transplant registry

Gender differences in heart transplantation: Twenty‐five year trends in the nationwide Spanish heart transplant registry

Heart failure in Norway, 2000–2014: analysing incident, total and readmission rates using data from the Cardiovascular Disease in Norway (CVDNOR) Project

10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

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