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Published on: April 17, 2021
[Trends of morbidity and mortality in chronic heart failure in Catalonia]
1Unitat d'Epidemiologia Clínica, Hospital General Universitari Vall d'Hebron, Barcelona.
Insights
Chronic heart failure mortality is stable in younger adults but rising in women over 65. Morbidity, or hospitalization rates, is increasing across all age groups, particularly in older populations.
Area of Science:
- Cardiology
- Epidemiology
- Public Health
Background:
- Chronic heart failure (CHF) epidemiology, including morbidity and mortality, requires further investigation.
- CHF significantly impacts healthcare economics due to treatment costs and high hospitalization rates.
Purpose of the Study:
- To analyze trends in chronic heart failure mortality and morbidity in Catalonia.
- Study periods: 1975-1994 for mortality and 1989-1994 for morbidity.
Main Methods:
- Calculated specific mortality and morbidity rates for age groups 45-65 and over 65, stratified by sex.
- Utilized European population data for standardized mortality rate calculations.
Main Results:
- Mortality trends for chronic heart failure (CHF) are stable in the 45-65 age group, with higher rates in men.
- Mortality shows a notable increase from 1983 in individuals over 65, particularly in women.
- Morbidity (hospitalization rates) increased slightly in the 45-65 group (especially men) and significantly in those over 65 for both sexes.
Conclusions:
- Mortality trends for CHF are increasing, specifically in women aged 65 and older.
- Morbidity trends demonstrate a clear increase across both studied age groups.
Introduction:
The epidemiology of chronic heart failure, specifically its morbidity and mortality, is insufficiently known, despite the fact that it has an important economic impact because of the pharmacological treatment and the high hospitalization rate.
Objective:
To analyze the trends of mortality and morbidity of chronic heart failure in Catalonia during the periods 1975-1994 and 1989-1994 respectively.
Patients And Methods:
Specific mortality and morbidity rates (ages 45-65, and older than 65) were calculated for both sexes. Standardised mortality rates were also calculated for mortality rates using the European population as the reference.
Results:
The trend of mortality of chronic heart failure in the population of 45-65 is stable, the rates being higher for men than for women. The trend in the age group older than 65 shows an important increase from 1983 on, higher in women than in men. Morbidity (hospitalization discharge rates) increases slightly in the population of 45-65 years, especially in men; in the population older than 65 an important increase is observed for both sexes.
Conclusions:
Trend of mortality is increasing specifically in women older than 65, while trends of morbidity are clearly increasing for both age groups.
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