Reitsma J B, Mosterd A, Koster R W, van Capelle F J, Grobbee D E, Tijssen J G
Afd. Klinische Epidemiologie en Biostatistiek, Academisch Medisch Centrum, Amsterdam.
Ned Tijdschr Geneeskd. 1994 Apr 23;138(17):866-71.
Determination of the trend in the occurrence of hospital admissions because of heart failure in the Netherlands.
Descriptive investigation.
Dutch general and university hospitals.
Data on hospital admissions because of heart failure from 1980 to 1992, obtained from the National Medical Register, were analysed. Three ICD-9 CM diagnoses were combined (congestive heart failure 428.x, diseases of the heart due to hypertension 402.x and myocardial degeneration 429.I).
From 1980 through 1992 the annual number of hospital admissions for heart failure increased by 69%, for both men and women, from 14,441 to 24,368. Age-adjusted admission rates increased by 43% for men, and by 30% for women. The admission rates were strongly age-related, with higher rates in the older age groups. Among men 89% of the patients in 1992 were older than 60 years, and 63% older than 70 years. Among women these figures were 94% and 79%, respectively. During the study period the age-specific admission rates rose in all relevant age groups. The rise was higher in the older age groups. In 1992 the average duration of stay in hospital was 14 days for men and 17 for women.
Probable causes of the rise in the number of hospital admissions for heart failure were the increasing median age of the population, higher survival rates after acute myocardial infarction and longer survival of persons with heart disease. Demographic changes and medical progress will probably lead to a further rise in morbidity and mortality and of costs of heart failure.
确定荷兰因心力衰竭而住院的发生率趋势。
描述性调查。
荷兰的综合医院和大学医院。
分析了1980年至1992年从国家医疗登记处获得的因心力衰竭而住院的数据。将三种国际疾病分类第九版临床修订本（ICD - 9 CM）诊断合并（充血性心力衰竭428.x、高血压性心脏病402.x和心肌变性429.I）。
从1980年到1992年，因心力衰竭住院的年度人数增加了69%，男性和女性均如此，从14441人增加到24368人。年龄调整后的住院率男性增加了43%，女性增加了30%。住院率与年龄密切相关，年龄较大的组住院率更高。1992年，男性患者中89%年龄超过60岁，63%年龄超过70岁。女性中的这些数字分别为94%和79%。在研究期间，所有相关年龄组的年龄特异性住院率均有所上升。年龄较大的组上升幅度更大。1992年，男性平均住院天数为14天，女性为17天。
心力衰竭住院人数增加的可能原因是人口年龄中位数增加、急性心肌梗死后生存率提高以及心脏病患者生存期延长。人口结构变化和医学进步可能会导致心力衰竭的发病率、死亡率以及成本进一步上升。
