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Coronary artery disease in the Thai population: data from health situation analysis 2010

Songsak Kiatchoosakun1, Sumitr Sutra, Kaewjai Thepsuthammarat

  • 1Division of Cardiology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. sonkia@kku.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|November 8, 2012
PubMed

Insights

Coronary artery disease (CAD) admissions in Thailand rose in 2010, with angina and acute myocardial infarction (AMI) being most common. High in-hospital mortality for AMI highlights the urgent need for improved cardiovascular healthcare.

Area of Science:

  • Cardiology
  • Public Health
  • Health Economics

Background:

  • Cardiovascular disease, specifically coronary artery disease (CAD), is rising in low-middle income countries like Thailand.
  • The increasing burden of CAD significantly impacts national healthcare systems and budgets.

Purpose of the Study:

  • To determine the annual hospitalization rate for CAD in Thailand.
  • To analyze in-hospital mortality across different CAD patient subgroups.
  • To assess the hospitalization costs associated with CAD.

Main Methods:

  • Data extracted from inpatient discharge forms covering three major Thai health insurance schemes (96% of the population) for fiscal year 2010.
  • Analysis of coronary artery disease (ICD-10 codes I20, I21, I25) admissions, mortality, length of stay, and hospital charges.
  • Included angina pectoris, acute myocardial infarction (AMI), and chronic ischemic heart disease.

Main Results:

  • Total CAD admissions reached 22,507 in 2010.
  • Angina pectoris (10,822 admissions) was the most frequent diagnosis, followed by AMI (6,391) and chronic ischemic heart disease (5,294).
  • In-hospital mortality rates were 11.3% for AMI, 2.9% for chronic ischemic heart disease, and 0.7% for angina pectoris.

Conclusions:

  • Thailand faces an epidemiologic transition with increasing cardiovascular disease and associated healthcare costs.
  • The substantial burden of CAD necessitates improvements in the healthcare system.
  • Data underscores the need for enhanced public health strategies and interventions for cardiovascular disease management.
Abstract

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