Division of Cardiology, Department of Internal Medicine, Korea University, Seoul, South Korea.
Division of Cardiology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
PLoS One. 2022 Dec 28;17(12):e0279541. doi: 10.1371/journal.pone.0279541. eCollection 2022.
Understanding national trends of heart failure (HF) is crucial for establishing prevention and treatment strategies. We aimed to investigate the 11-year trends of HF in the South Korean population.
Using the Korean National Health Insurance Service database, we identified 3,446,256 patients with HF between 2004 and 2014.
The prevalence of HF was 1.42% in 2004, steadily increasing to 1.98% in 2014. However, the age-adjusted prevalence of HF remained stable (1.43% in 2014). The incidence of HF was 6.1/1000 person-years in 2004 and remained at similar levels, reaching 5.4/1000 person-years in 2014. The age-adjusted incidence of HF slowly decreased to 3.94/1000 person-years in 2014. The event rate for hospitalized patients with HF remained stable increasing from 1.40 in 2004 to 1.87/1000 person-years in 2014, and the age-adjusted event rate of hospitalized HF decreased to 1.22 in 2014.
In South Korea, between 2004 and 2014, the prevalence of HF increased while the incidence of HF remained stable. Furthermore, the age-adjusted HF prevalence was stable, and the age-adjusted incidence decreased. This indicates that the aging population is the main cause of the increasing national burden associated with HF and that further attention is warranted in the management of HF in older adults.
了解心力衰竭（HF）的全国趋势对于制定预防和治疗策略至关重要。我们旨在调查韩国人群中 HF 的 11 年趋势。
使用韩国国家健康保险服务数据库，我们确定了 2004 年至 2014 年间 3446256 例 HF 患者。
HF 的患病率在 2004 年为 1.42%，稳步上升至 2014 年的 1.98%。然而，HF 的年龄调整患病率保持稳定（2014 年为 1.43%）。HF 的发病率在 2004 年为 6.1/1000 人年，保持在相似水平，2014 年达到 5.4/1000 人年。HF 的年龄调整发病率缓慢下降至 2014 年的 3.94/1000 人年。HF 住院患者的事件发生率保持稳定，从 2004 年的 1.40 增加到 2014 年的 1.87/1000 人年，HF 住院患者的年龄调整事件率在 2014 年降至 1.22。
在韩国，2004 年至 2014 年间，HF 的患病率增加，而 HF 的发病率保持稳定。此外，HF 的年龄调整患病率保持稳定，发病率下降。这表明人口老龄化是与 HF 相关的国家负担增加的主要原因，需要进一步关注老年人 HF 的管理。
