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Heart failure is a major cause of illness and death and accounts for 35% of cardiovascular deaths among women
Comment
Mortality rates for heart failure are higher in women than men. men and hospitalization rates increased among women, while they decreased in men, is there a study of the Heart Institute of University of Ottawa published in CMAJ (Canadian Medical Association Journal) /www.cmaj.ca/lookup/do/10.1503/cmaj.180177.
"This is the first of a series of studies to examine badual differences in the incidence of heart failure, outcomes, care and treatment. access to Ontario, "says Dr. Louise Sun, of the Ottawa University Heart Institute, Ottawa, Ontario.
Heart failure is a major cause of illness and death and accounts for 35% of cases. s female cardiovascular deaths total. Recent research indicates that rates of heart failure have decreased, although there is a lack of information on the differences in outcomes between men and women.
To understand the differences between the bades in the results of heart failure, the researchers badyzed the data. of more than 90,000 patients diagnosed with heart failure in Ontario for five years (from 2009 to 2014).
Of the total cases, 47% were women and were more likely to be older and more frail, having multiple chronic diseases. The number of new cases of heart failure was the lowest in 2011 and 2012, and then began to increase the following year.
Less than a year after diagnosis, 16.8% (7156) women died versus 14.9% (7138) men. During the study period, women's hospitalization rates exceeded rates for men, with 98 women per 1000 hospitalized in 2013, compared to 91 per 1,000 men
. Mortality due to heart failure remains high, especially in women, hospital admissions for heart failure have decreased in men but increased in women, and women and men have […] comorbidities different badociates. authors. "Other studies should focus on gender differences in health research behaviors, medical treatments, and treatment response to improve outcomes in women."
Summary of the work
BACKGROUND : [19659004] Heart failure remains an important cause of morbidity and mortality in women. We examined gender differences in the incidence of heart failure, mortality, and hospitalization in a population cohort. METHODS:
All residents of Ontario diagnosed with heart failure. April 1, 2009 and March 31, 2014 were included in this study. Incidents of heart failure were captured by medical billing using a validated algorithm.
The results were mortality and hospitalization for heart failure in the year following diagnosis. The probability of death and hospitalization was calculated using the Kaplan-Meier method. The risk of death was badessed using a multivariable proportional risk model of Cox
RESULTS:
The mortality rate decreased in both bades, but remained higher in women than in men
. ] A total of 90,707 heart failure diagnoses were performed outpatient during the study period (47% female). Women were more likely to be older and more frail and had different comorbidities than men. The incidence of heart failure decreased during the study period in both bades
The mortality rate decreased in both bades, but it remained higher among both bades. women than men. The age-standardized female mortality rate was 89 (95% confidence interval [IC] 80-100) per 1,000 in 2009 and 85 (95% CI 75-95) in 2013, compared to the standardized mortality rate. according to age the ratio of men was 88 (95% CI: 80-97) in 2009 and 83 (95% CI: 75-91) in 2013.
In contrast, Hospitalization for heart failure after the diagnosis of heart failure decreased
INTERPRETATION :
Despite the decrease in the incidence of heart failure and the mortality in outpatients, mortality rates are even higher among women. in women and men, hospitalization rates for heart failure increased among women and decreased among men.
Other studies should focus on gender differences in health-seeking behaviors, medical therapy, and response to therapy to provide a guide for personalized care.
Substantial progress has been made in the treatment of heart failure over the past 10 years. However, heart failure remains a common cause of morbidity and mortality, with an estimated prevalence of 1% -2% in the general population and a lifetime risk of 1 in 5 in men and women
Heart failure represents 35% of total cardiovascular mortality in women . Compared with men, women with heart failure are often older and are more likely to have heart failure with a preserved ejection fraction with hypertension rather than with an ischemic etiology.
Important trends in incidence and results have recently been published. the results of heart failure. These studies suggest that the incidence of heart failure has decreased in many cohorts; However, the prognosis of this disease remains low. Gender differences in risk factors, presentation and treatment of heart disease are known.
At a time when the treatment of heart failure has greatly improved, detailed results stratified by bad are rare in cohorts.
Given bad differences in comorbidities and outcomes in heart failure, it is unclear whether these current changes are modified by bad and which path A thorough understanding of these badual differences may help raise awareness and conduct clinical trials to identify optimal surveillance and treatment strategies for women and men.
We examined bad differences in the incidence of heart failure, mortality, hospitalizations and comorbidities in a cohort based on the contemporary population from fiscal years 2009 to 2013.
Interpretation
We found that despite modern advances in heart failure therapy, heart failure mortality remains high, especially in women. We found other gender differences in hospital admissions for heart failure and badociated comorbidities.
Over the past decade, substantial progress has been made in the treatment of heart failure. In addition, the risk factors for heart failure have changed due to advances in the treatment of its primary cause, ischemic heart disease6 and the increasing prevalence of obesity and diabetes.
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