Evolution of intensive cardiac care units over the past decade: A France nationwide observational database study comparing recent trends (2014–2023)

IF 2.2 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Archives of Cardiovascular Diseases Pub Date : 2025-09-01 DOI:10.1016/j.acvd.2025.02.013

Hugo Guillermou , Grégoire Mercier , Eric Bonnefoy-Cudraz , Clément Delmas , François Roubille

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Abstract

Background

The landscape of intensive cardiac care units has transformed greatly over recent decades, reflecting shifts in patient demographics, treatment modalities and healthcare practices. However, data characterizing these changes over time are limited.

Aim

To provide a detailed nationwide analysis of intensive cardiac care unit utilization in France.

Methods

This observational study analysed all intensive cardiac care unit admissions in France from 2014 to 2023, using data from the French national hospital discharge database (PMSI). Patient characteristics, admission patterns, procedures and outcomes were compared across years, contextualizing long-term changes in cardiac care.

Results

The study included 2,731,925 intensive cardiac care unit stays from 2014 to 2023. Long-term trends from 2014 showed a shift towards younger patients, shorter overall hospital stays (from 7.6 to 6.6 days) and an increase in non-surgical interventions (from 41.4% to 49.0%). Heart failure prevalence increased slightly (from 27.9% to 31.9%), whereas acute coronary artery disease remained stable (39.4% in 2014 and 38.3% in 2023). The in-hospital death rate was consistent at around 4%.

Conclusions

This comprehensive analysis highlights important long-term shifts in patient profiles and treatment approaches over the past decade. These findings provide crucial data for optimizing acute cardiac care delivery and resource allocation in the evolving landscape of intensive cardiac care.

Abstract Image

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过去十年来心脏重症监护病房的演变：一项法国全国观察性数据库研究比较了最近的趋势（2014-2023）。

背景：近几十年来，心脏重症监护病房的景观发生了巨大变化，反映了患者人口统计学、治疗方式和医疗保健实践的变化。然而，描述这些随时间变化的数据是有限的。目的：提供法国全国范围内心脏重症监护病房使用情况的详细分析。方法：本观察性研究使用法国国家医院出院数据库（PMSI）的数据，分析了2014年至2023年法国所有重症心内科住院患者。患者特征、入院模式、程序和结果在多年间进行比较，以了解心脏护理的长期变化。结果：该研究包括2014年至2023年期间的2,731,925例重症心内科住院病例。2014年以来的长期趋势显示，患者年龄更小，总体住院时间更短（从7.6天减少到6.6天），非手术干预措施增加（从41.4%增加到49.0%）。心力衰竭的患病率略有上升（从27.9%上升到31.9%），而急性冠状动脉疾病保持稳定（2014年为39.4%，2023年为38.3%）。住院死亡率一直保持在4%左右。结论：这项综合分析强调了过去十年中患者概况和治疗方法的重要长期转变。这些发现为优化急性心脏护理提供了重要的数据，并在不断发展的心脏重症监护景观资源分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Cardiovascular Diseases 医学-心血管系统

CiteScore

4.40

自引率

6.70%

发文量

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.