Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;7(6):3365-3373.
doi: 10.1002/ehf2.13060. Epub 2020 Oct 22.

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

Radosław Sierpiński  1   2 , Justyna M Sokolska  3   4 , Tomasz Suchocki  5 , Beata Koń  6 , Filip Urbański  6 , Marcin Kruk  6 , Mateusz Sokolski  3   7 , Piotr Ponikowski  3   7 , Ewa A Jankowska  3   7
Affiliations

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

Radosław Sierpiński et al. ESC Heart Fail. 2020 Dec.

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.

Keywords: Age differences; Epidemiology; Gender differences; Heart failure; Heart failure hospitalization; In-hospital mortality; Poland; Trends.

PubMed Disclaimer

Conflict of interest statement

All authors declare no potential conflicts of interest.

Figures

Figure 1
Figure 1
Heart failure hospitalizations per 1000 inhabitants by gender in consecutive years in Poland (2010–2019).
Figure 2
Figure 2
Relative risk of heart failure hospitalization per 1000 inhabitants in men in comparison with women in consecutive years in Poland (2010–2019).
Figure 3
Figure 3
Heart failure hospitalizations per 1000 inhabitants by gender and age groups in Poland (2010–2019).
Figure 4
Figure 4
In‐hospital mortality during heart failure hospitalization by gender in consecutive years in Poland (2010–2019).
Figure 5
Figure 5
Relative risk of in‐hospital mortality during heart failure hospitalization in men in comparison with women in consecutive years in Poland (2010–2019).
Figure 6
Figure 6
In‐hospital mortality during heart failure hospitalizations by gender and age groups in Poland (2010–2019).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Savarese G, Lund LH. Global public health burden of heart failure. Card Fail Rev 2017; 03: 7. - PMC - PubMed
    1. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, Chiuve SE, Cushman M, Delling FN, Deo R, de Ferranti SD, Ferguson JF, Fornage M, Gillespie C, Isasi CR, Jiménez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Lutsey PL, Mackey JS, Matchar DB, Matsushita K, Mussolino ME, Nasir K, O'Flaherty M, Palaniappan LP, Pandey A, Pandey DK, Reeves MJ, Ritchey MD, Rodriguez CJ, Roth GA, Rosamond WD, Sampson UKA, Satou GM, Shah SH, Spartano NL, Tirschwell DL, Tsao CW, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2018 update: a report from the American Heart Association. Circulation 2018; 137: E67–E492. - PubMed
    1. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2016; 37: 2129–2200m. - PubMed
    1. Network TT force of the HHFC . How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association. ESC Hear Fail 2020; 7: 15–24. - PMC - PubMed
    1. Łyszczarz B. Indirect costs and public finance consequences of heart failure in Poland, 2012–2015 14 Economics 1402 Applied Economics. BMC Public Health 2018; 18: 1130. - PMC - PubMed