西班牙Takotsubo综合征的出院率(MBDS)区域差异(2008-2021)。

N. Rosillo , N. del Prado , P. Pérez , J.L. Bernal , I. Núñez-Gil , Á. Gamarra , L. Vilches , J. Salamanca , J. Elola , F. Alfonso
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引用次数: 0

摘要

背景和目的:Takotsubo综合征(TTS)是近年来诊断较好的一种罕见的急性冠脉综合征病因。本研究旨在评估西班牙TTS患者的临床概况,并阐明2008年至2021年间入院率和住院死亡率的潜在区域差异。方法:采用最小基本数据集,对西班牙国家卫生系统急性综合医院主要或次要诊断为STT的患者进行回顾性观察研究。结果:共发现12.952例TTS住院病例。入院人数呈指数增长,从2008年的210人增加到2021年的1918人。患者以女性为主(79.1%),平均年龄72.0±12.5岁(女性72.5±12.2岁);男性69.9±13.4;结论:TTS通常出现在有相关合并症的老年妇女中,并且具有显著的住院死亡率。男性和女性的年龄和合并症不同。住院率和住院死亡率方面存在着相关的区域差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital discharges (MBDS) from Takotsubo syndrome in Spain. Regional differences (2008–2021)

Background and objectives

Takotsubo syndrome (TTS) is an infrequent cause of acute coronary syndrome much better diagnosed in recent years. This study sought to assess the clinical profile of patients admitted with TTS in Spain and to elucidate potential regional differences in admissions and in-hospital mortality between the years 2008 and 2021.

Methods

Retrospective observational study of patients admitted to acute general hospitals of the Spanish National Health System with a main or secondary diagnosis of STT, using the minimum basic data set.

Results

A total of 12,952 hospitalization for TTS were identified. The number of hospital admissions increased exponentially from 210 in the year 2008 to 1918 in 2021. Most patients (79.1%) were women and mean age was 72.0 ± 12.5 years (72.5 ± 12.2 in female; 69.9 ± 13.4 in men; p < 0.001). Associated comorbidities were frequent (44.9% arterial hypertension, 31.2% heart failure) and differed in men and women. Overall, crude in-hospital mortality was 7%. Notably, admission and in-hospital mortality rates, adjusted by age and gender, were different among the different autonomous communities.

Conclusions

TTS usually presents in elderly women with associated comorbidities and has a significant in-hospital mortality. Age and comorbidities differ between men and women. Relevant regional differences exist regarding admission and in-hospital mortality rates.
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