[Hospitalization rates for coronary heart disease from 2007 to 2009 in Beijing]
Xue-qin Xie1, Xiu-ying Zhang, Dong Zhao
1Beijing Public Health Information Center, Beijing 100050, China.
Insights
Coronary heart disease (CHD) hospitalization rates in Beijing increased from 2007-2009, particularly in men and exurban residents. This highlights the growing burden of cardiovascular disease in the region.
Area of Science:
- Cardiovascular epidemiology
- Public health surveillance
- Health services research
Context:
- Coronary heart disease (CHD) poses a significant public health challenge globally and in urban centers like Beijing.
- Understanding regional and demographic variations in CHD hospitalization is crucial for targeted interventions.
- Previous studies have indicated trends in cardiovascular disease, but recent data specific to Beijing's hospitalization patterns are needed.
Purpose:
- To analyze the distribution and temporal trends of Coronary Heart Disease (CHD) hospitalization rates in Beijing between 2007 and 2009.
- To identify specific demographic groups and geographical areas within Beijing experiencing higher or increasing CHD hospitalization rates.
- To provide data for healthcare resource allocation and health insurance estimations related to CHD.
Summary:
- A total of 248,049 patients aged 25+ were hospitalized for CHD in Beijing from 2007-2009. Average age-standardized hospitalization rate was 651.2/100,000, higher in men (741.2/100,000) than women (560.9/100,000).
- Exurban areas showed the highest average hospitalization rate (671.9/100,000). Overall CHD hospitalization increased by 18.1% from 2007 to 2009, with notable rises in acute myocardial infarction (24.5%) and unstable angina (55.3%).
- Hospitalization rates increased across all Beijing areas, with the largest increase (36.6%) in exurban regions. Rates for acute myocardial infarction and unstable angina rose significantly, while other CHD forms saw a slight decrease.
Impact:
- The findings underscore a rising burden of CHD in Beijing, necessitating proactive public health strategies and resource allocation.
- Identifying higher rates in exurban areas and specific conditions like acute myocardial infarction can guide focused prevention and treatment efforts.
- This data is vital for evaluating the overall impact of cardiovascular disease and informing health policy and insurance planning in Beijing.
Objective:
To examine the distribution and trends of hospitalization rates for coronary heart disease (CHD) from 2007 to 2009 in Beijing.
Methods:
We calculated hospitalization rates for CHD using data from Beijing Hospital Discharge Information System. Information of census registered population in Beijing was obtained from Beijing Municipal Bureau of Statistics. CHD includes acute myocardial infarction, unstable angina and other forms of CHD. Age-standardized hospitalization rates for CHD per 100 000 population aged 25 years or more were calculated.
Results:
During 2007 - 2009, a total of 248 049 patients aged 25 years or more hospitalized in Beijing with the primary discharge diagnosis of CHD were enrolled, of whom 73.7% were permanent registered Beijing citizens. The average hospitalization rate for CHD in 2007 - 2009 was 651.2/100 000 for the permanent residences in Beijing (741.2/100 000 in men, 560.9/100 000 in women). The highest average hospitalization rate (671.9/100 000) was seen in exurban area compared to other areas in Beijing. The average hospitalization rate for acute myocardial infarction, unstable angina, and other CHD was 126.4/100 000, 226.4/100 000 and 298.4/100 000, respectively. The hospitalization rate for CHD increased 18.1% from 2007 to 2009 (from 598.1/100 000 to 706.5/100 000). The same trend was seen in women (20.2%) and men (16.6%). The hospitalization rates of CHD in the urban, suburban, and exurban areas of Beijing all increased in the three years, and the greatest increase (36.6%) was found in exurban area. Hospitalization rates of acute myocardial infarction and unstable angina increased 24.5% and 55.3%, respectively, in the three years, while hospitalization rates of other CHD decreased 5.7%.
Conclusions:
The hospitalization rate of CHD is higher in men than in women in Beijing. The hospitalization rates for CHD increased from the observation period, especially in those living in exurban area. Awareness of the magnitudes and trends of CHD hospitalization rates is of great importance in evaluating the burden of cardiovascular disease, allocating and utilizing health care resources, and estimating the health insurance for Beijing.
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