Trends in hospitalizations in congenital heart disease patients in France: A national PMSI database analysis

S. Hascoet, S. Cohen, C. Karanfilovic, A. Buronfosse
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Abstract

Introduction

Thanks to the progresses made in the management of congenital heart diseases (CHD), life expectancy of these patients has greatly improved, including those of patients with complex CHD. Epidemiology of this growing population is rapidly evolving. French data are needed to prepare each regional healthcare plan.

Objective

We aim to analyse national PMSI database to assess trends and projections.

Methods

We investigated the number of hospitalizations stay of children and adults with CHD over 10 years from 2013 to 2022 in France. Complexity of CHD was defined according to M3C classification.

Results/Expected results

Number of hospital stays of patients with CHD varied from 37,339 to 45,310 in total and from 9,320 to 11,006 for patients with complex CHD. Over 10 years, the latter represent 26.2% of all hospitalizations.

In children, it varied from 19,787 to 23,023 in total and from 5,714 to 6,987 for children with complex CHD. Over 10 years, the latter represent 30.6% of all hospitalizations. The number of neonates with CHD hospitalized is very stable over time ranging from 1380 to 1596. A similar trend is observed for children.

In adults with CHD, it increased continuously by 55.9% from 15,056 to 23,475 and from 3,564 to 4,294 for adults with complex CHD. Over 10 years, the latter represent 21.0% of all hospitalizations. There is an increase in hospitalizations in adults with CHD with a 5-year projection suggesting an increase up to 35%. In particular number of ACHD hospitalized for management of arrhythmia or for catheterization has almost doubled over 10 years (Figure 1).

Conclusion/Perspectives

Number of children with complex CHD seems to be very stable over time. On the other hand, there is a growing number of hospitalizations in adults with CHD. Next healthcare plan should contribute to develop facilities for the specific management of adults with CHD in these centres.

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法国先天性心脏病患者住院趋势:国家PMSI数据库分析
由于在先天性心脏病(CHD)管理方面取得的进展,这些患者的预期寿命大大提高,包括那些患有复杂冠心病的患者。这一不断增长的人口的流行病学正在迅速发展。编制每个区域保健计划需要法国的数据。目的分析国家PMSI数据库,评估趋势和预测。方法对法国2013 - 2022年10年间儿童和成人冠心病住院人数进行调查。根据M3C分类定义冠心病的复杂性。结果/预期结果冠心病患者总住院天数在37339 ~ 45310之间,复杂冠心病患者住院天数在9320 ~ 11006之间。10年来,后者占所有住院人数的26.2%。在儿童中,这一数字从19,787到23,023不等,对于患有复杂冠心病的儿童,这一数字从5,714到6,987不等。10年来,后者占所有住院人数的30.6%。新生儿冠心病住院人数稳定在1380 - 1596之间。在儿童身上也观察到类似的趋势。在冠心病成人中,从15056人到23475人,从3564人到4294人,连续增加55.9%。在10年期间,后者占所有住院人数的21.0%。成人冠心病患者住院率增加,5年预测增加35%。特别是因心律失常或置管而住院治疗的ACHD人数在10年内几乎翻了一番(图1)。结论/观点复杂冠心病儿童的数量似乎随着时间的推移非常稳定。另一方面,有越来越多的成人冠心病患者住院治疗。下一步的医疗保健计划应有助于在这些中心开发专门管理成人冠心病的设施。
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来源期刊
Archives of Cardiovascular Diseases Supplements
Archives of Cardiovascular Diseases Supplements CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
508
期刊介绍: Archives of Cardiovascular Diseases Supplements is the official journal of the French Society of Cardiology. The journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles, editorials, and Images in cardiovascular medicine. The topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Additionally, Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
期刊最新文献
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