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Eur Heart J:安贞医院赵冬团队,北京急性心梗住院率5年增50%,年轻人增加最明显,总费用增加56.8%

2016-12-15 文韬 中国循环杂志

近日,首都医科大学附属北京安贞医院赵冬教授团队在《欧洲心脏杂志》撰文指出,2007-2012年北京地区急性心梗住院率大幅上升,并从以STEMI为主开始向以NSTEMI为主转变,正如20世纪90年代西方国家所发生的情况一样。研究显示,2007-2012年,北京急性心梗住院率增加49.5%,年龄标准化住院率增加31.2%。值得注意的是,年龄最小(<55岁)组的急性心梗住院率增加最为明显,达到45

近日,首都医科大学附属北京安贞医院赵冬教授团队在《欧洲心脏杂志》撰文指出,2007-2012年北京地区急性心梗住院率大幅上升,并从以STEMI为主开始向以NSTEMI为主转变,正如20世纪90年代西方国家所发生的情况一样。

研究显示,2007-2012年,北京急性心梗住院率增加49.5%,年龄标准化住院率增加31.2%。值得注意的是,年龄最小(<55岁)组的急性心梗住院率增加最为明显,达到45.8%。

此外,急性心梗亚型发生率明显改变。2007-2012年,STEMI年龄标准化住院率略有下降,而NSTEMI住院率增加3倍。5年间,STEMI与NSTEMI患者数量的比值从6.5:1剧降至1.3:1;而女性NSTEMI的比例已超过STEMI。

研究者认为,NSTEMI住院率大幅上升由多种原因造成。首先,高敏心肌标志物,特别是肌钙蛋白的使用,使得NSTEMI检出率提高,进而导致住院率升高。其次,人口老龄化及合并症增多也是重要原因。

在预后方面,研究显示,虽然STEMI的院内死亡率高于NSTEMI,但5年间STEMI院内死亡率的下降幅度更明显。此外,由于NSTEMI患者通常年龄更大,心血管合并症更多,因此长期死亡率更高。

此外,2007-2012年,AMI患者住院时间缩短了0.9 天(从10.6 天至9.7 天),STEMI和NSTEMI均观察到相似的趋势。

然而,虽然住院时间缩短,但每次住院和总住院费用呈稳步上升趋势。在校正通货膨胀后,每次住院的费用增加3.2%。再加上心梗需多次住院,2012年北京心梗患者的总住院费用达6.9亿元,校正通货膨胀后,较2007年增加56.8%。

研究采用北京市出院患者信息系统数据,共纳入2007-2012年因AMI住院的77 943例患者。

原始出处:


No authors listed.Recent hospitalization trends for acute myocardial infarction in Beijing. Eur Heart J. 2016, 37: 3188-3189.
拓展阅读:心梗相关的拓展阅读:

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    2016-12-20 jyzxjiangqin

    好好研究。

    0

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    2016-12-17 owlhealth

    数据在手,文章就有

    0

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1994203, encodeId=7a54199420308, content=<a href='/topic/show?id=7841458350f' target=_blank style='color:#2F92EE;'>#安贞医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45835, encryptionId=7841458350f, topicName=安贞医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Fri Jun 23 09:59:00 CST 2017, time=2017-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=164232, encodeId=4ac816423267, content=好好研究。, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Dec 20 06:54:13 CST 2016, time=2016-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163554, encodeId=3f6816355402, content=数据在手,文章就有, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Sat Dec 17 15:49:05 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1308341, encodeId=0764130834180, content=<a href='/topic/show?id=8323522e503' target=_blank style='color:#2F92EE;'>#急性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52275, encryptionId=8323522e503, topicName=急性心梗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa4f352, createdName=chenlianhui, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356140, encodeId=72ff1356140b9, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562409, encodeId=30b015624097e, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163158, encodeId=983f16315839, content=感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Fri Dec 16 07:02:12 CST 2016, time=2016-12-16, status=1, ipAttribution=)]
    2016-12-17 zhaojie88
  6. [GetPortalCommentsPageByObjectIdResponse(id=1994203, encodeId=7a54199420308, content=<a href='/topic/show?id=7841458350f' target=_blank style='color:#2F92EE;'>#安贞医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45835, encryptionId=7841458350f, topicName=安贞医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Fri Jun 23 09:59:00 CST 2017, time=2017-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=164232, encodeId=4ac816423267, content=好好研究。, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Dec 20 06:54:13 CST 2016, time=2016-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163554, encodeId=3f6816355402, content=数据在手,文章就有, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Sat Dec 17 15:49:05 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1308341, encodeId=0764130834180, content=<a href='/topic/show?id=8323522e503' target=_blank style='color:#2F92EE;'>#急性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52275, encryptionId=8323522e503, topicName=急性心梗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa4f352, createdName=chenlianhui, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356140, encodeId=72ff1356140b9, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562409, encodeId=30b015624097e, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163158, encodeId=983f16315839, content=感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Fri Dec 16 07:02:12 CST 2016, time=2016-12-16, status=1, ipAttribution=)]
    2016-12-17 slcumt
  7. [GetPortalCommentsPageByObjectIdResponse(id=1994203, encodeId=7a54199420308, content=<a href='/topic/show?id=7841458350f' target=_blank style='color:#2F92EE;'>#安贞医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45835, encryptionId=7841458350f, topicName=安贞医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Fri Jun 23 09:59:00 CST 2017, time=2017-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=164232, encodeId=4ac816423267, content=好好研究。, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Dec 20 06:54:13 CST 2016, time=2016-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163554, encodeId=3f6816355402, content=数据在手,文章就有, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Sat Dec 17 15:49:05 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1308341, encodeId=0764130834180, content=<a href='/topic/show?id=8323522e503' target=_blank style='color:#2F92EE;'>#急性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52275, encryptionId=8323522e503, topicName=急性心梗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa4f352, createdName=chenlianhui, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356140, encodeId=72ff1356140b9, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562409, encodeId=30b015624097e, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Dec 17 01:59:00 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163158, encodeId=983f16315839, content=感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Fri Dec 16 07:02:12 CST 2016, time=2016-12-16, status=1, ipAttribution=)]
    2016-12-16 清幽蓝燕yan

    感谢分享

    0

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