Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center.
Department of Cardiovascular Medicine, Nara Medical University.
Int Heart J. 2023 Mar 31;64(1):53-59. doi: 10.1536/ihj.22-445. Epub 2023 Jan 31.
Cardiovascular diseases are a major cause of mortality worldwide. Nonetheless, the current trend in cardiology hospitals in Japan has not been comprehensively explored.This descriptive study used the Japanese Registry of All Cardiac and Vascular Diseases database during 2010-2019. The nationwide 10-year trend in cardiovascular medical care systems was described in detail corresponding to the regions in Japan.Cardiovascular facilities and the number of cardiology beds, hospitalized patients, and cardiologists increased during 2010-2019. There were regional differences in the number of patients and cardiologists per bed, but the differences in the number of hospitalized patients per cardiologist decreased among the regions. Of the three major acute cardiovascular diseases, patients hospitalized with heart failure per cardiologist have been increasing. However, the in-hospital mortality rates have not changed over the last decade (8.6% for acute myocardial infarction, 7.7% for heart failure, and 12.7% for acute aortic dissection in 2019).There was an increasing trend in the availability of cardiovascular care resources in Japan during 2010-2019. This study provides a comprehensive summary of the current cardiovascular care and the follow-up required in the future.
心血管疾病是全球范围内主要的死亡原因。然而，目前日本心脏病医院的趋势尚未得到全面探讨。本描述性研究使用了 2010 年至 2019 年期间的日本所有心脏和血管疾病登记数据库。详细描述了 2010 年至 2019 年期间日本各地区心血管医疗体系的全国 10 年趋势。心血管设施和心脏病学床位、住院患者和心脏病专家的数量在 2010 年至 2019 年期间有所增加。每个床位的患者和心脏病专家数量存在地区差异，但各地区每 1 名心脏病专家的住院患者数量差异有所减少。在三大急性心血管疾病中，因心力衰竭住院的患者每 1 名心脏病专家的人数一直在增加。然而，过去十年中，住院死亡率没有变化（2019 年急性心肌梗死为 8.6%，心力衰竭为 7.7%，急性主动脉夹层为 12.7%）。2010 年至 2019 年期间，日本心血管护理资源的可及性呈上升趋势。本研究全面总结了目前的心血管护理状况以及未来所需的后续工作。
