Copyright © 1993 by the European Society of Cardiology.
© 1993 The Europen Society of Cardiology
Trends in hospitalization for heart failure in Scotland 1980–1990
Department of Cardiology, Western Infirmary Glasgow, Scotland, U.K.
*Monica Project, Royal Infirmary Glasgow, Scotland, U.K.
Received 17 February 1993; revised 22 April 1993; .
Correspondence Dr John McMurray, Department of Cardiology. Western Infirmary, Glasgow G11 6NT, Scotland, UK.
Abstract
Heart failure is a growing public health problem in industrialized countries with ageing populations. Scotland has a relatively stable population of approximately 5 million and a well described system for recording details of hospitalizations (Scottish Hospital In-Patients Statistics-SHIPS). We have examined SHIPS data for hospitalizations for heart failure in Scotland 1980–1990. Discharges for heart failure as the primary diagnosis increased by almost 60%, from 1.30 to 2.12/1000 population in this period (as either primary or secondary diagnosis the rate increased from 2.51 to 4.24/1000). Seventy-eight percent of discharges were in persons aged 
65 years and 48% of discharges were male. Heart failure (primary diagnosis) accounted for almost 4% of all general (internal) medicine discharges. In-patient case fatality was 18% in 1990. Mean duration of in-patient stay on Internal Medicine wards was approximately 11 days.
The number of hospitalizations for heart failure is now almost identical to those for myocardial infarction. These trends mirror those recently reported from the United States. Heart failure is an increasingly common and costly cause of hospitalization in Scotland. Approaches which can reduce this burden on the hospital service require urgent attention.
Key Words: Heart failure • health services utilization • health economics
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