10 year trends in hospitalization rates due to heart failure and related in‐hospital mortality in Poland (2010–2019)

Abstract

Aims Heart failure (HF) remains a major public health challenge worldwide. Contemporary epidemiological data on HF hospitalization rates and related in-hospital mortality are scarce also in Poland. The aim of the study was to determine the trends in hospitalization rates due to HF and related in-hospital mortality in Poland in the recent decade. Methods and results Data on HF hospitalizations and in-hospital mortality in patients aged >17 years in Poland between 2010 and 2019 were obtained from the central database of the Polish National Health Fund. Hospitalizations with either primary or secondary diagnosis of HF were identified using the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes (I50, I42, J81 with extensions, and R57.0). There were 4 259 698 HF hospitalizations and 608 577 in-hospital deaths (14% in-hospital mortality) reported during 2010-2019 in Poland. During this period, there was a steady increase in the number of HF hospitalizations per 1000 inhabitants in subsequent years, being more pronounced in men than in women (in 2019: 16 and 13 HF hospitalizations per 1000 inhabitants in men and women, respectively). The relative risk of HF hospitalization was higher in men than in women, and this gender-related difference steadily increased from 9% in 2010 to 25% in 2019. During 2010-2019, there was an increase in the number of HF hospitalizations per 1000 inhabitants in subsequent age groups, with a trend being more pronounced in men than in women (129 and 99 HF hospitalizations per 1000 inhabitants in men and women aged ≥80 years, respectively). During this period, there was a slight increase in in-hospital mortality during HF hospitalization in subsequent years, being more pronounced in women than in men (in 2019: 16% and 14% of in-hospital mortality in women and men, respectively). The relative risk of in-hospital mortality during HF hospitalization was higher in women than in men, and this gender-related difference steadily increased from 8% in 2010 to 18% in 2019. During this period, in-hospital mortality during HF hospitalization was~12% for women and men aged 18-29 years, whereas the highest values of in-hospital mortality reached~19% for patients aged ≥80 years. Conclusions We have observed steady growing trends in HF hospitalization rates and related in-hospital mortality in Poland over the last decade. Both age and gender have differentiated the reported epidemiological patterns.

History of Heart Failure in Patients Hospitalized Due to COVID-19: Relevant Factor of In-Hospital Complications and All-Cause Mortality up to Six Months

“…Before the COVID-19 outbreak, the prognosis in HF was unsatisfactory with the one year-mortality of patients after HF diagnosis estimated at 24% [ 5 ]. In-hospital mortality varied from 12% to 19%, depending on the study [ 6 ]. As our study revealed, SARS-CoV-2 infection significantly worsens in-hospital course and long-term prognosis of HF patients with three-month mortality two times higher than in HF patients without COVID-19.…”

“…Approximately 24% of patients die within one year of HF diagnosis [ 5 ]. In-hospital mortality during HF hospitalizations is also unacceptably high and varies from 12 to 19%, depending on consecutive years, gender, and age groups [ 6 ].…”

Burden of hospitalizations in newly diagnosed heart failure patients in Poland: real world population based study in years 2013–2019

“…Nevertheless, the present data are in agreement with findings by Sierpiński et al who reported a 14% in-hospital mortality in Poland in all prevalent HF patients over a 10 year period. 15 On the other hand, they observed a gradual uptrend in in-hospital deaths between 2010 and 2019. The opposite trend in our study could result from a more recent population (dating back to 2013 vs. 2010 in Sierpiński's study) thus treated in a unified manner according to new HF recommendations that were published in 2012 and updated in 2016.…”

“…Nevertheless, the present data are in agreement with findings by Sierpiński et al . who reported a 14% in‐hospital mortality in Poland in all prevalent HF patients over a 10 year period 15 . On the other hand, they observed a gradual uptrend in in‐hospital deaths between 2010 and 2019.…”

Decompensated heart failure with reduced ejection fraction: overcoming barriers to improve prognosis in the “vulnerable” period after discharge

“…В последние десятилетия частота госпитализаций с СН увеличилась во всем мире [9,16,17], как в течение года после установки диагноза, так и повторных госпитализаций в последующие годы, достигнув в среднем 64 событий на 100 пациенто-лет [9]. При этом ожидается, что в ближайшие 25 лет в связи с ростом численности и постарением населения число госпитализаций, связанных с СН, увеличится на 50 % [18].…”