The Heart Failure Association Atlas: Heart Failure Epidemiology and Management Statistics 2019.

Epidemiology HFA Atlas Heart failure Hospitalization Incidence Prevalence

Journal

European journal of heart failure
ISSN: 1879-0844
Titre abrégé: Eur J Heart Fail
Pays: England
ID NLM: 100887595

Informations de publication

Date de publication:
06 2021
Historique:
revised: 17 02 2021
received: 28 01 2021
accepted: 23 02 2021
pubmed: 27 2 2021
medline: 25 9 2021
entrez: 26 2 2021
Statut: ppublish

Résumé

The Heart Failure Association (HFA) of the European Society of Cardiology (ESC) developed the HFA Atlas to provide a contemporary description of heart failure (HF) epidemiology, resources, reimbursement of guideline-directed medical therapy (GDMT) and activities of the National Heart Failure Societies (NHFS) in ESC member countries. The HFA Atlas survey was conducted in 2018-2019 in 42 ESC countries. The quality and completeness of source data varied across countries. The median incidence of HF was 3.20 [interquartile range (IQR) 2.66-4.17] cases per 1000 person-years, ranging from ≤2 in Italy and Denmark to >6 in Germany. The median HF prevalence was 17.20 (IQR 14.30-21) cases per 1000 people, ranging from ≤12 in Greece and Spain to >30 in Lithuania and Germany. The median number of HF hospitalizations was 2671 (IQR 1771-4317) per million people annually, ranging from <1000 in Latvia and North Macedonia to >6000 in Romania, Germany and Norway. The median length of hospital stay for an admission with HF was 8.50 (IQR 7.38-10) days. Diagnostic and management resources for HF varied, with high-income ESC member countries having substantially more resources compared with middle-income countries. The median number of hospitals with dedicated HF centres was 1.16 (IQR 0.51-2.97) per million people, ranging from <0.10 in Russian Federation and Ukraine to >7 in Norway and Italy. Nearly all countries reported full or partial reimbursement of standard GDMT, except ivabradine and sacubitril/valsartan. Almost all countries reported having NHFS or working groups and nearly half had HF patient organizations. The first report from the HFA Atlas has shown considerable heterogeneity in HF disease burden, the resources available for its management and data quality across ESC member countries. The findings emphasize the need for a systematic approach to the capture of HF statistics so that inequalities and improvements in care may be quantified and addressed.

Identifiants

pubmed: 33634931
doi: 10.1002/ejhf.2143
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

906-914

Investigateurs

Rudolf Berger (R)
Tofiq Jahangirov (T)
Alena Kurlianskaya (A)
Pierre Troisfontaines (P)
Walter Droogne (W)
Larisa Dizdarević Hudić (LD)
Mariya Tokmakova (M)
Duška Glavaš (D)
Vassilis Barberis (V)
Jindrich Spinar (J)
Emil Wolsk (E)
Tiina Uuetoa (T)
Heli Tolppanen (H)
Zviad Kipiani (Z)
Stefan Störk (S)
Johann Bauersachs (J)
Kalliopi Keramida (K)
John Parissis (J)
Tamas Habon (T)
Israel Gotsman (I)
Jean-Marc Weinstein (JM)
Inga Jona Ingimarsdottir (IJ)
Jim Crowley (J)
Barbra Dalton (B)
Nadia Aspromonte (N)
Savina Nodari (S)
Maurizio Volterrani (M)
Amina Rakisheva (A)
Erkin Mirrakhimov (E)
Ginta Kamzola (G)
Hadi Skouri (H)
Jelena Čelutkiene (J)
Silvana Jovanova (S)
Eleonora Vataman (E)
Irina Pogorevici Cobac (IP)
Petra Van Pol (P)
Rudolf De Boer (R)
Thomas von Lueder (T)
Ewa Straburzynska-Migaj (E)
Brenda Moura (B)
Ovidiu Chioncel (O)
Igor Fomin (I)
Julia Begrambekova (J)
Yuri Lopatin (Y)
Yuri Mareev (Y)
Eva Goncalvesova (E)
Petar Seferović (P)
Ivan Milinković (I)
Mitja Lainščak (M)
José Manuel Garcia Pinilla (JMG)
Krister Lindmark (K)
Christian Mueller (C)
Yuksel Cavusoglu (Y)
Roy Gardner (R)
Leonid Voronkov (L)

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

© 2021 European Society of Cardiology.

Références

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Auteurs

Petar M Seferović (PM)

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Serbian Academy of Sciences and Arts, Belgrade, Serbia.

Panagiotis Vardas (P)

Hygeia Heart Sector, Hygeia Group of Hospitals, Athens, Greece.
European Society of Cardiology Health Policy Unit, European Heart Health Institute, European Heart Agency, Brussels, Belgium.

Ewa A Jankowska (EA)

Department of Heart Diseases, Wroclaw Medical University, and Centre for Heart Diseases, University Hospital, Wroclaw, Poland.

Aldo P Maggioni (AP)

ANMCO Research Center, Heart Care Foundation, Florence, Italy.

Adam Timmis (A)

Queen Mary University London, London, UK.

Ivan Milinković (I)

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Department of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia.

Marija Polovina (M)

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Department of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia.

Chris P Gale (CP)

Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Leeds Institute for Data Analytics, University of Leeds, Leeds, UK.
Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Lars H Lund (LH)

Department of Medicine, Karolinska Institute, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Yuri Lopatin (Y)

Volgograd State Medical University, Regional Cardiology Centre Volgograd, Volgograd, Russia.

Mitja Lainscak (M)

Department of Internal Medicine, and Department of Research and Education, General Hospital Murska Sobota, Murska Sobota, Slovenia.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Gianluigi Savarese (G)

Department of Medicine, Karolinska Institute, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Radu Huculeci (R)

European Society of Cardiology Health Policy Unit, European Heart Health Institute, European Heart Agency, Brussels, Belgium.

Dzianis Kazakiewicz (D)

European Society of Cardiology Health Policy Unit, European Heart Health Institute, European Heart Agency, Brussels, Belgium.

Andrew J S Coats (AJS)

Centre of Clinical and Experimental Medicine, IRCCS San Raffaele Pisana, Rome, Italy.

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