Tumanan-Mendoza Bernadette A, Mendoza Victor L, Bermudez-Delos Santos April Ann A, Punzalan Felix Eduardo R, Pestaño Noemi S, Natividad Rudy Boy, Shiu Louie Alfred, Macabeo Renelene
Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines; Department of Clinical Epidemiology, University of the Philippines Manila, College of Medicine, Manila, Philippines.
Department of Internal Medicine, Section of Cardiology, De La Salle University Medical Center, Dasmarinas, Cavite, Philippines; Department of Physiology, De La Salle Health Sciences Institute, Dasmarinas, Cavite, Philippines.
Heart Asia. 2017 Mar 27;9(1):76-80. doi: 10.1136/heartasia-2016-010862. eCollection 2017.
The study determined the prevalence of hospitalisation due to congestive heart failure (CHF) among adult patients aged 19 years and above in the Philippines and its 17 regions in 2014. It also determined the demographic profile of these patients, aetiology and type of CHF, comorbidities, duration of hospitalisation and the overall in-hospital mortality rate.
Data collection was done using the hospitalisation claims database of the Philippine Health Insurance Corporation (PhilHealth). All patient claims for CHF, that is, patients who were admitted from 1 January to 31 December 2014, were included. Descriptive statistics were utilised to obtain the results.
The prevalence rate was 1.6% or 1648 cases of CHF for every 100 000 patient claims for medical conditions in 2014. The mean age was 52.6±15.1 years. There was no sex predilection. Only 22.67% of the hospitalisation claims for CHF listed possible specific aetiologies, the most common of which was hypertensive heart disease (86.7%). There were more cases of systolic compared to diastolic heart failure. The mean length of hospital stay was 5.9 days (+8.2) days (median 4 days), with an overall in-hospital mortality rate of 8.2%.
There were 16 cases of heart failure for every 1000 Filipino patients admitted due to a medical condition in 2014. Hypertension was possibly the most common aetiologic factor. Compared to western and Asia-Pacific countries, the local mortality rate was relatively higher.
本研究确定了2014年菲律宾19岁及以上成年患者因充血性心力衰竭（CHF）住院的患病率及其17个地区的情况。还确定了这些患者的人口统计学特征、CHF的病因和类型、合并症、住院时间以及总体住院死亡率。
使用菲律宾健康保险公司（PhilHealth）的住院理赔数据库进行数据收集。纳入所有2014年1月1日至12月31日期间因CHF住院的患者理赔数据。采用描述性统计方法得出结果。
2014年，每100,000例医疗状况患者理赔中，CHF患病率为1.6%，即1648例。平均年龄为52.6±15.1岁。无性别倾向。仅22.67%的CHF住院理赔列出了可能的具体病因，其中最常见的是高血压性心脏病（86.7%）。收缩性心力衰竭病例多于舒张性心力衰竭。平均住院时间为5.9（+8.2）天（中位数4天），总体住院死亡率为8.2%。
2014年，每1000名因医疗状况住院的菲律宾患者中有16例心力衰竭病例。高血压可能是最常见的病因。与西方和亚太国家相比，当地死亡率相对较高。
