Department of Anesthesiology and Critical Care, INSERM UMR-S 942, Hôpital Lariboisière, 2 Rue Ambroise Paré, Paris, France.
Eur J Heart Fail. 2012 Mar;14(3):234-9. doi: 10.1093/eurjhf/hfr182. Epub 2012 Jan 10.
Little is known regarding temporal trends in mortality attributed to heart failure (HF) from a population perspective. The aim of this study was to assess the mortality related to HF as an underlying cause during the last 20 years in seven European countries.
The number of deaths with HF as the underlying cause was collected in seven European states: Germany, Greece, England and Wales, Spain, France, Finland, and Sweden from 1987 to 2008. Disease coding for HF was based on the International Classification of Diseases (ICD 9th and 10th versions). We computed age-standardized death rates (SDRs) per 100 000 inhabitants. Mean age at death from HF was also calculated for the same period. In the seven studied countries, the HF SDR decreased continuously from 54.2 (1987) to 32.6 (2008). Despite differences in the early 1990s, SDRs related to HF seemed to converge, in these seven European countries, to ∼30 deaths per 100 000 population in the near future, for both men and women. During the study period, the mean age at death increased from 80.0 to 82.7 years. Half of the deaths from HF occurred in hospital, without change over time.
There has been a 40% reduction of the SDR due to HF in seven European countries during two decades and a concomitant increase in the mean age at death from HF. We hypothesize that these results may be related to a better management of chronic and acute HF patients over the past 20 years.
从人群角度来看，有关心力衰竭（HF）导致的死亡率的时间趋势知之甚少。本研究旨在评估过去 20 年来七个欧洲国家中 HF 作为根本原因的死亡率。
从 1987 年至 2008 年，在七个欧洲国家（德国、希腊、英格兰和威尔士、西班牙、法国、芬兰和瑞典）收集了 HF 作为根本原因的死亡人数。HF 的疾病编码基于国际疾病分类（ICD 第 9 版和第 10 版）。我们计算了每 10 万居民的年龄标准化死亡率（SDR）。还计算了同期死于 HF 的平均年龄。在这七个研究国家中，HF 的 SDR 从 1987 年的 54.2 连续下降到 2008 年的 32.6。尽管在 1990 年代初期存在差异，但这些欧洲国家的 HF SDR 似乎正在趋同，在不久的将来，男性和女性的 HF 相关死亡率都将达到每 10 万人 30 例左右。在研究期间，死亡的平均年龄从 80.0 岁增加到 82.7 岁。HF 导致的死亡中有一半发生在医院，且无时间变化。
在过去的二十年中，七个欧洲国家由于 HF 的 SDR 降低了 40%，而 HF 导致的死亡的平均年龄也相应增加。我们假设这些结果可能与过去 20 年来慢性和急性 HF 患者的管理得到改善有关。
