Cardiovascular hospitalizations and deaths in adults, children and pregnant women.

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Archives of Cardiovascular Diseases Pub Date : 2024-12-01 Epub Date: 2024-10-05 DOI:10.1016/j.acvd.2024.08.007
Grégory Lailler, Amélie Gabet, Clémence Grave, Julie Boudet-Berquier, Rym El Rafei, Nolwenn Regnault, Philippe Acar, Julie Thomas-Chabaneix, Philippe Tuppin, Yannick Béjot, Jacques Blacher, Valérie Olié
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Abstract

Cardiovascular diseases (CVDs) and strokes are the leading cause of death worldwide. To estimate the number and incidence of cardiovascular hospitalizations and deaths in adults and children and strokes and acute coronary syndromes (ACS) among pregnant women in France. Using National Health Data, we identified all hospitalizations for CVD in 2022 and cardiovascular deaths in 2021. We also identified all women in the general health insurance scheme who gave birth in France during 2010-2018 after 22 weeks' gestation and all strokes and ACS that occurred during pregnancy and postpartum. In adults in 2022, there were 1,229,003 hospitalizations for CVD among 925,936 adults (59.2% men) for a standardized rate of 1614 per 100,000. This was twice as high in men versus women and increased with age and social deprivation. In 2021, 138,137 adults died of CVD (47.4% men), i.e. 216 per 100,000 adults. Among children born during the first 6 months of 2022, a congenital heart defect (CHD) was identified in 3876 (1068 cases per 100,000 live births). In 2021, 193 children died of a CHD (1.4 per 100,000) and 100 of another CVD (0.7 per 100,000). In the women accounting for the 6.3 million deliveries during 2010-2018, 1261 strokes and 225 ACS were identified during pregnancy and the postpartum period, i.e. respective incidence rates of 24.0 and 4.3 per 100,000 person-years. The burden of CVD calls for large-scale action to improve the prevention, screening and management of CVD in these different populations.

成人、儿童和孕妇的心血管病住院和死亡人数。
心血管疾病(CVDs)和脑卒中是导致全球死亡的主要原因。目的是估算法国孕妇中成人和儿童心血管病住院和死亡人数及发病率,以及中风和急性冠状动脉综合征(ACS)的发病率。通过国民健康数据,我们确定了 2022 年因心血管疾病住院的所有人数和 2021 年因心血管疾病死亡的人数。我们还确定了2010-2018年期间在法国妊娠22周后分娩的所有普通医疗保险女性,以及所有在孕期和产后发生的中风和冠状动脉综合征。2022 年,925936 名成年人(59.2% 为男性)中有 1229003 人因心血管疾病住院,标准化比率为每 10 万人 1614 例。男性住院率是女性的两倍,并且随着年龄和社会贫困程度的增加而增加。2021 年,138 137 名成年人死于心血管疾病(47.4% 为男性),即每 10 万名成年人中有 216 人死亡。在 2022 年前 6 个月出生的儿童中,有 3876 人(每 10 万名活产儿中有 1068 例)被发现患有先天性心脏缺陷(CHD)。2021 年,有 193 名儿童死于先天性心脏病(每 10 万人中有 1.4 人),100 名儿童死于其他心血管疾病(每 10 万人中有 0.7 人)。在 2010-2018 年间 630 万名分娩的妇女中,有 1261 名中风患者和 225 名急性心肌梗死患者是在怀孕期间和产后发生的,即发病率分别为每 10 万人年 24.0 例和 4.3 例。心血管疾病造成的负担要求我们采取大规模行动,改善这些不同人群的心血管疾病预防、筛查和管理。
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来源期刊
Archives of Cardiovascular Diseases
Archives of Cardiovascular Diseases 医学-心血管系统
CiteScore
4.40
自引率
6.70%
发文量
87
审稿时长
34 days
期刊介绍: The Journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles and editorials. 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. 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.
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