Hospital burden of coronary artery disease: Trends of myocardial infarction and/or percutaneous coronary interventions in France 2009–2014

Abstract

Background Currently, cardiovascular disease (CVD) is widely acknowledged to be the first leading cause of fatality in the world with 31% of all deaths worldwide and is predicted to remain as such in 2030. Furthermore, CVD is also a major cause of morbidity in adults worldwide. Among these diseases, the coronary artery disease (CAD) is the most common cause, accounting for over 40% of CVD deaths. Despite a decline in mortality rates, the consequences of more effective preventive and management programs, the burden of CAD remains significant. Indeed, the rise in the prevalence of modifiable risk factors due to changes in lifestyle and health behaviors has further increased the burden of this epidemic. Our objective was to evaluate the hospital burden of CAD via MI trends and Percutaneous Coronary Intervention (PCI) in the French Prospective Payment System (PPS). Methods MI/PCI were identified in the national PPS database from 2009 to 2014 for patients aged 20 to 99, living in metropolitan France. We examined hospitalisation, readmission and mortality trends using standardised rates. Results Over the six-year period, we identified 678,021 patients, representing 900,121 stays of which, 215,224 had a MI and a PCI. Admission trends increased by nearly 25%. Acute MI cases increased every year, with an alarming increase in women, and more specifically in young women. Men were 3 times more hospitalised than women, who were older. A North-South divide was noted. Twenty seven percent of patients experienced readmission within 1 month. Trajectories of care were significantly different by sex and age. Overall in-hospital death was 3.3%, decreasing by 15% during the period. The highest adjusted mortality rates were observed for inpatients aged <40 or >80. Conclusion We outlined the public health burden of this condition and the importance of improving the trajectories of care as an aid for better care.

Information Needs in Percutaneous Coronary Artery Intervention: Validation and Reliability Analysis of NPCI-10 Item Scale

“…Cardiovascular disease remains the leading cause of mortality accounting for 31% of all deaths worldwide, and it is estimated to reach approximately 22.2 million deaths by 2030 [ 1 , 2 ]. More in detail, myocardial infarction morbidity and mortality rates are 1.5-15 times higher compared to general population [ 1 ].…”

Post percutaneous coronary interventional outcomes on proximal vs non-proximal lesions of the left and right coronary arteries

“…Coronary artery disease (CAD) and percutaneous coronary intervention (PCI) have been 1 among the most common diseases and treatment option, respectively in cardiac centers. [1,2] Estimates from the World Health Organization predict CAD to be the main cause of mortality worldwide with values which exceeded 9 million deaths in 2016 [1] . Moreover, by accounting for almost 31% of all mortality throughout the globe, CAD is considered as the leading cause of death and is expected to maintain this position until 2030 [3] .…”

“…Therefore, the hospital burden for CAD and PCI has increased recently. Data of the national French Prospective Payment System database from the years 2009 to 2014, consisting of French patients living in Metropolitan showed a total number of 678,021 patients with CAD over this 6-year period, representing 900,121 hospital stay, with 215,224 patients with myocardial infarction, or underwent revascularization with PCI [2] …”

Readiness for Voice Technology in Patients With Cardiovascular Diseases: Cross-Sectional Study

“…An increasing number of patients with CVD presents challenges to health care systems to provide ubiquitous and high-quality care [15][16][17]. Thus, the implementation of telehealth services may enable alternative treatment strategies [18].…”