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Rev Esp Cardiol (Engl Ed). 2018 Feb;71(2):95-104. doi: 10.1016/j.rec.2017.04.033. Epub 2017 Jul 31.

Trends in Hospitalization and Mortality Rates Due to Acute Cardiovascular Disease in Castile and León, 2001 to 2015.

[Article in English, Spanish]

Author information

1
Servicio de Medicina Intensiva, Complejo Asistencial Universitario de Palencia, Palencia, Spain. Electronic address: jlopezme@saludcastillayleon.es.
2
Unidad de Investigación, Complejo Asistencial Universitario de Palencia, Palencia, Spain.
3
Servicio de Medicina Intensiva, Complejo Asistencial Universitario de Palencia, Palencia, Spain.
4
Servicio de Medicina Preventiva, Complejo Asistencial Universitario de Palencia, Palencia, Spain.

Abstract

INTRODUCTION AND OBJECTIVES:

To analyze hospitalization and mortality rates due to acute cardiovascular disease (ACVD).

METHODS:

We conducted a cross-sectional study of the hospital discharge database of Castile and León from 2001 to 2015, selecting patients with a principal discharge diagnosis of acute myocardial infarction (AMI), unstable angina, heart failure, or acute ischemic stroke (AIS). Trends in the rates of hospitalization/100 000 inhabitants/y and hospital mortality/1000 hospitalizations/y, overall and by sex, were studied by joinpoint regression analysis.

RESULTS:

A total of 239 586 ACVD cases (AMI 55 004; unstable angina 15 406; heart failure 111 647; AIS 57 529) were studied. The following statistically significant trends were observed: hospitalization: ACVD, upward from 2001 to 2007 (5.14; 95%CI, 3.5-6.8; P < .005), downward from 2011 to 2015 (3.7; 95%CI, 1.0-6.4; P < .05); unstable angina, downward from 2001 to 2010 (-12.73; 95%CI, -14.8 to -10.6; P < .05); AMI, upward from 2001 to 2003 (15.6; 95%CI, 3.8-28.9; P < .05), downward from 2003 to 2015 (-1.20; 95%CI, -1.8 to -0.6; P < .05); heart failure, upward from 2001 to 2007 (10.70; 95%CI, 8.7-12.8; P < .05), upward from 2007 to 2015 (1.10; 95%CI, 0.1-2.1; P < .05); AIS, upward from 2001 to 2007 (4.44; 95%CI, 2.9-6.0; P < .05). Mortality rates: downward from 2001 to 2015 in ACVD (-1.16; 95%CI, -2.1 to -0.2; P < .05), AMI (-3.37, 95%CI, -4.4 to -2, 3, P < .05), heart failure (-1.25; 95%CI, -2.3 to -0.1; P < .05) and AIS (-1.78; 95%CI, -2.9 to -0.6; P < .05); unstable angina, upward from 2001 to 2007 (24.73; 95%CI, 14.2-36.2; P < .05).

CONCLUSIONS:

The ACVD analyzed showed a rising trend in hospitalization rates from 2001 to 2015, which was especially marked for heart failure, and a decreasing trend in hospital mortality rates, which were similar in men and women. These data point to a stabilization and a decline in hospital mortality, attributable to established prevention measures.

KEYWORDS:

Accidente cerebrovascular isquémico; Acute ischemic stroke; Angina inestable; Cardiovascular disease; Enfermedad cardiovascular; Heart failure; Hospitalización; Hospitalization; Infarto agudo de miocardio; Insuficiencia cardiaca; Mortalidad; Mortality; Myocardial infarction; Unstable angina

PMID:
28774633
DOI:
10.1016/j.rec.2017.04.033
[Indexed for MEDLINE]

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