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Published on: June 10, 2025
[Trends of hospitalizations for chronic heart failure in Andalusia in the last decade]
M F Jiménez-Navarro1, A J Muñoz García, J M García-Pinilla
1Servicio de Cardiología, Hospital Clínico Universitario Virgen de la Victoria, Málaga, España. jimeneznavarro@secardiologia.es
Insights
Hospitalizations for heart failure in Andalusia increased by 230% between 1990 and 2000, primarily affecting individuals over 65. Women experienced slightly higher heart failure hospitalization rates.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Heart failure (HF) poses a significant economic burden, with hospitalization costs constituting the largest expenditure.
- Understanding regional trends in HF morbidity is crucial for resource allocation and healthcare planning.
Purpose:
- To analyze the morbidity trends of chronic heart failure (HF) in Andalusia, Spain, from 1990 to 2000.
- To identify demographic shifts in HF hospitalizations during the study period.
Summary:
- Hospitalizations for heart failure (HF) in individuals over 45 in Andalusia surged by 230% from 1990 (4,345 cases) to 2000 (10,153 cases).
- This increase was predominantly observed in the population aged 65 and older.
- Age- and gender-standardized hospitalization rates indicated a slightly higher incidence in women compared to men.
Impact:
- The findings highlight a significant rise in heart failure hospitalizations, particularly among the elderly population in Andalusia.
- This underscores the growing burden of chronic heart failure on healthcare systems and the need for targeted interventions for older adults and women.
Background And Objectives:
The cost of hospitalization represents the greatest proportion of total expenditure due to heart failure. Our objective was to analyze the trends of morbidity of chronic heart failure in Andalusia between 1990-2000.
Material And Methods:
The data on hospitalizations in Andalusia (title 428 of the ninth revision of the International Disease Classification) were obtained from the National Survey of Hospital Morbidity of the National Institute of Statistics. The rates, standardized by age and gender, of admission due to heart failure were calculated by the direct standardization method.
Results:
The absolute number of hospitalizations due to hear failure in people over 45 years was 4,345 in 1990 and 10,153 in 2000 (a relative increase of 230%) and it represents 14.2% hospitalizations in Spain. The increase was focused on those over 65 years and the standardized rates were slightly greater in women than in men.
Conclusions:
Hospitalization discharge rates increased mostly in the population older than 65 and women showed hospitalization rates slightly greater than men.
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