Shah Rajendra P, Duhan Sanchit, Alharbi Anas, Sattar Yasar, Gonuguntla Karthik, Alhajji Mohamed, Jagadeesan Vikrant
Department of Cardiac Imaging, University of Florida/ Malcom Randall VA Medical Center, Gainesville, FL, USA.
Department of Internal Medicine, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Curr Probl Cardiol. 2024 Jan;49(1 Pt A):102020. doi: 10.1016/j.cpcardiol.2023.102020. Epub 2023 Aug 5.
According to the Global Burden of Disease Project, the morbidity and mortality of myocarditis continue to be a significant worldwide burden. On October 1, 2015, hospital administrative data started using the International Classification of Diseases (ICD)-10 codes instead of the ICD-9. To our knowledge, nationwide trends of myocarditis have not been studied after this update. The NIS database from 2005-2019 was analyzed using ICD-9 and 10 codes. Our search yielded 141,369 hospitalizations due to myocarditis, with 40.9% females. There were 6627 (4.68%) patients who required mechanical circulatory support (MCS) using left ventricular assisted devices (LVAD), intra-aortic balloon pump (IABP), or extracorporeal membrane oxygenation (ECMO). The use of LVAD and ECMO increased significantly during the study period (p-trend 0.003 and <0.001, respectively), whereas the use of IABP decreased during the same period (p-trend 0.025). Our study demonstrated an overall increase in the use of MCS overall in myocarditis, with increasing utilization of more advanced MCS in the forms of LVAD and ECMO.
根据全球疾病负担项目，心肌炎的发病率和死亡率仍是全球的重大负担。2015年10月1日，医院管理数据开始使用国际疾病分类（ICD）-10编码而非ICD-9编码。据我们所知，此次更新后尚未对全国范围内的心肌炎趋势进行研究。利用ICD-9和10编码对2005年至2019年的国家住院样本（NIS）数据库进行了分析。我们的检索得到141369例因心肌炎住院的病例，其中女性占40.9%。有6627例（4.68%）患者需要使用左心室辅助装置（LVAD）、主动脉内球囊泵（IABP）或体外膜肺氧合（ECMO）进行机械循环支持（MCS）。在研究期间，LVAD和ECMO的使用显著增加（p趋势分别为0.003和<0.001），而同期IABP的使用减少（p趋势为0.025）。我们的研究表明，心肌炎患者总体上使用MCS的情况有所增加，且LVAD和ECMO等更先进的MCS的使用也在增加。
