ポーランド の 心臓 不全: 20 年 の 疫学 的 展望
Michał Bohdan1, Anna Kowalczys1, Jadwiga Nessler2,3
1First Department of Cardiology, University Clinical Centre, Medical University of Gdansk, Smoluchowskiego 17 Str, 80-214 Gdansk, Poland.
Medicina (Kaunas, Lithuania)
|August 28, 2025
まとめ
ポーランドでは心臓機能不全 (HF) の流行,入院,死亡率が増加しています. この公衆衛生問題には 多病性の負担と 心臓リハビリテーションへのアクセスが限られていることが特徴です
科学分野:
- 心臓病科
- 公衆衛生
- 流行病学について
背景:
- 心血管疾患 (CVD) は,ポーランドで死亡の主な原因です.
- 心不全 (HF) は国内で重要で増大する公衆衛生上の問題です.
研究 の 目的:
- ポーランドの心不全 (HF) の発生率,入院率,患者の人口統計,死亡率の動向を20年以上にわたって分析する.
- HF患者の罹患率,併発症,死亡率の傾向,およびリハビリテーションへのアクセスを評価する.
主な方法:
- 2004年から2012年,そして2014年から2021年までの心不全に関する2つの国の報告書の比較分析
- ポーランド保健省,国立保健基金,HTAコンサルティングのデータを用いて,HFの流行率 (ICD-10コード I50,J81) を調べました.
主要な成果:
- HF患者数は34% (2019年には102万人) 増加し,そのうち9%が60歳未満でした.
- HFに関連する死亡率は著しく増加し,入院数は2014年から2019年にかけて41%増加しました.
- 2020年までにHF治療の経済的負担は117%増加し,入院はコストの94%を占めました.
結論:
- ポーランドでは心不全の流行,入院率,死亡率が増加しています.
- 高血圧や不律症を含む多発性の負担が増加し,HFの管理を複雑にしています.
- 心臓リハビリテーションへのアクセスは限られており,HFの影響を軽減するために医療計画を改善する必要があります.
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