Copyright © 1997 by the European Society of Cardiology.
© 1997 The European Society of Cardiology
Trends in hospitalization and mortality for heart failure in Spain, 1980–1993
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*Department of Preventive Medicine and Public Health, Universidad del País Vasco Vitoria-Gasteiz
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid Madrid
Centro Universitario de Salud Pública (CUSP), Universidad Autónoma de Madrid Madrid, Spain
Received 30 May 1997; accepted 9 June 1997.
Correspondence: Dr Fernando Rodríguez Artalejo, Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Arzobispo Morcillo, sn 28029 Madrid, Spain
Abstract
AIMS: To describe, for the first time, trends in hospitalization and mortality rates for congestive heart failure in Spain during the period 1980–1993.
METHODS AND RESULTS: Data on primary diagnosis of congestive heart failure were taken from the National Hospital Morbidity Survey and the National Vital Statistics. The number of hospital admissions for congestive heart failure rose by 71% (from 42 965 in 1980 to 73 448 in 1993) and hospitalization rates for congestive heart failure increased by 47% (from 348 per 100 000 in 1980 to 511 per 100 000 in 1993). The rise in hospitalizations was limited to persons aged 
65 years, and proved greater among women. Congestive heart failure was the leading cause of hospitalization in persons aged 65 years, accounting for 5% of all hospital admissions in this age group. Age-adjusted congestive heart failure mortality declined by 23%. The decline affected all age groups, with the sole exception of the 80-year group in which mortality rose. Nevertheless, congestive heart failure remained the third leading cause of cardiovascular death.
CONCLUSION: Congestive heart failure represents a significant hospital and demographic burden for the Spanish population. The hospital burden increased substantially in the period 1980–1993, and will continue to do so in future with the growth of the elderly population.
Key Words: Heart failure • hospitalization • mortality • trends
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