MI/PCI case identification algorithm in the FHDD. Our objective was to evaluate the hospital burden of CAD through the MI, Percutaneous Coronary Interventions (PCI), and other ischaemic heart diseases (OIHD) annual trends as well as the related costs using the French PPS data over a six-year period. Moreover, in France, the gradual increase in fee-for-service has enhanced the coding quality. Although these data are sometimes criticised due to inaccuracy and lack of completeness, they are increasingly used for epidemiological studies. Īs MI treatment is performed in a health facility, it is possible to trace the patient pathways through the national hospital Prospective Payment System (PPS), using comprehensive hospital databases, regularly collected for billing purposes. In parallel, a study related to the economical burden of MI after a first episode underlined that the cost of health care following a MI, has been multiplied by three over the last decade. However, they also showed a societal change placing women on equal terms with men for risk of MI occurrence and mortality. Local and regional or even national analyses from register data, like WHO-MONICA Project, highlighted a decline of these rates in the ten last years. In 2011, standardized mortality rates in ischaemic heart disease were evaluated at 4.8 per 10 4. In France, in 2012, the crude hospitalization rates for ischaemic heart disease, acute coronary syndromes and MI were 33.9, 18.8 and 9.4 per 10 4, respectively. Despite improvements in care, CAD remain among the top causes of disease, disability and death worldwide leading to a high consumption of health resources. Among these diseases, the coronary artery disease (CAD) is the most common cause, accounting for more than 40% of CVD deaths (Source WHO). Today, people with MI have a risk of recurrence and/or development of coronary heart disease-related conditions six times higher than those with no history of MI. In addition, CVD was also a major cause of morbidity in adults worldwide during the 20th century. Moreover, this is reinforced with by the World Health Organization (WHO), which forecasts an 11% increase in the burden of CVD by 2030, bringing the worldwide number of myocardial infarctions (MI) and stroke to approximately 36.2 million. This does not alter our adherence to PLOS ONE policies on sharing data and materials.Īround the world, cardiovascular disease (CVD) is recognized as the leading cause of death (accounting for approximately 31% of all deaths worldwide) and is predicted to remain as such in 2030. Cayla reports research Grants to the Institution or Consulting/Lecture Fees from, Amgen, Abbott, AstraZeneca, Bayer, Boehringer Ingelheim, Biotronik, Bristol-Myers Squibb, Daiichi-Sankyo, Eli-Lilly, Medtronic, MSD, Pfizer, Sanofi-Aventis. įunding: The author(s) received no specific funding for this work.Ĭompeting interests: Pr. The request for data has to be sent to the Système national des données de santé (SNDS). The authors didn’t have any access privileges that other researchers would not have. The data is stored by a third party, which delivers the permission to access this data in the same manner as the authors. The original data source is not accessible because it is protected by data confidentiality. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All relevant data are within the manuscript and its Supporting Information files. Received: SeptemAccepted: ApPublished: May 2, 2019Ĭopyright: © 2019 Pinaire et al. PLoS ONE 14(5):Īzienda Ospedaliero Universitaria Careggi, ITALY Citation: Pinaire J, Azé J, Bringay S, Cayla G, Landais P (2019) Hospital burden of coronary artery disease: Trends of myocardial infarction and/or percutaneous coronary interventions in France 2009–2014.
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