Ways to solve the problem of heart failure statistics in clinical practice
https://doi.org/10.18087/cardio.2020.10.n1039
Abstract
For organization of health care, it is important to know the requirement for its individual types, including the number of hospitalizations and the use of expensive technologies. Heart failure (HF) syndrome in patients with cardiovascular diseases often determines their severity and prognosis. However, being a complication of underlying disease, HF is not included into statistical reports and medical bills in the compulsory health insurance system. This article focuses on issues in evaluating HF prevalence and mortality in different countries and provides the authors’ consensus on approaches to HF coding in the informational systems, which record morbidity and mortality.
Supporting agencies: No conflict of interest is reported.
About the Authors
S. A. Boytsov
National Medical Research Center of cardiology of Ministry of Health of the Russian Federation, Scientific Research Institute of Clinical Cardiology named after A.L. Myasnikov, Moscow, Russia
Russian Federation
MD, PhD, Professor, Academic of Russian Academy of Science, Director
Russian Federation
MD, PhD, Professor, Academic of Russian Academy of Science, Director
O. M. Drapkina
National Medical Research Centre for Therapy and Preventive Medicine, Ministry of Health of Russia, Moscow
Russian Federation
MD, PhD, Professor, corresponding member of Russian Academy of Science, Director
Russian Federation
MD, PhD, Professor, corresponding member of Russian Academy of Science, Director
O. V. Zayratyants
«A.I. Evdokimov Moscow State University of Medicine and Dentistry», Moscow, Russia
Russian Federation
Dr. Sci. Med., professor, the Head of the Department of Pathological anatomy of MGMSU of A.I.Evdokimov.
Russian Federation
Dr. Sci. Med., professor, the Head of the Department of Pathological anatomy of MGMSU of A.I.Evdokimov.
E. P. Kakorina
Institute of leadership and health management Federal state Autonomous educational institution of higher education I. M. Sechenov first Moscow state medical University of the Ministry of health of the Russian Federation (Sechenov University), Moscow, Russia
Russian Federation
Professor, doctor of medical Sciences, Deputy Director
Russian Federation
Professor, doctor of medical Sciences, Deputy Director
I. V. Samorodskaya
National Medical Research Centre for Therapy and Preventive Medicine, Ministry of Health of Russia, Moscow
Russian Federation
MD, PhD, Professor
Russian Federation
MD, PhD, Professor
References
1. Boorsma EM, Rienstra M, van Veldhuisen DJ, van der Meer P. Residual confounding in observational studies: new data from the old DIG trial. European Heart Journal. 2019;40(40):3342–4. DOI: 10.1093/eurheartj/ehz527
2. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2016;37(27):2129–200. DOI: 10.1093/eurheartj/ehw128
3. Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart. 2007;93(9):1137–46. DOI: 10.1136/hrt.2003.025270
4. Redfield MM, Jacobsen SJ, Burnett JC, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA. 2003;289(2):194–202. DOI: 10.1001/jama.289.2.194
5. Bleumink GS, Knetsch AM, Sturkenboom MCJM, Straus SMJM, Hofman A, Deckers JW et al. Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure The Rotterdam Study. European Heart Journal. 2004;25(18):1614–9. DOI: 10.1016/j.ehj.2004.06.038
6. Ceia F, Fonseca C, Mota T, Morais H, Matias F, de Sousa A et al. Prevalence of chronic heart failure in Southwestern Europe: the EPICA study. European Journal of Heart Failure. 2002;4(4):531–9. DOI: 10.1016/S1388-9842(02)00034-X
7. Van Riet EES, Hoes AW, Limburg A, Landman MAJ, van der Hoeven H, Rutten FH. Prevalence of unrecognized heart failure in older persons with shortness of breath on exertion: Unrecognized HF in older persons with shortness of breath on exertion. European Journal of Heart Failure. 2014;16(7):772–7. DOI: 10.1002/ejhf.110
8. Mareev V.Yu., Fomin I.V., Ageev F.T., Begrambekova Yu.L., Vasyuk Yu.A., Garganeeva A.A. et al. Russian Heart Failure Society, Russian Society of Cardiology. Russian Scientific Medical Society of Internal Medicine Guidelines for Heart failure: chronic (CHF) and acute decompensated (ADHF). Diagnosis, prevention and treatment. Kardiologiia. 2018;58 (6S): 8–164. DOI: 10.18087/cardio.2475
9. Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP et al. Heart Disease and Stroke Statistics-2019 Update: A Report from the American Heart Association. Circulation. 2019;139(10):e56–528. DOI: 10.1161/CIR.0000000000000659
10. Moscow city compulsory medical insurance Fund. Tariff agreement for 2020. Av. at: https://www.mgfoms.ru/medicinskie-organizacii/tarifi/2020. https://www.mgfoms.ru/medicinskie-organizacii/tarifi/2020]
11. OECD. Statistics. Health Care Utilisation: Hospital discharges by diagnostic categories. [Internet] Available at: https://stats.oecd.org/ 12. Bytyçi I, Bajraktari G. Mortality in heart failure patients. Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology. 2015;15(1):63–8. DOI: 10.5152/akd.2014.5731
12. Naghavi M, Makela S, Foreman K, O’Brien J, Pourmalek F, Lozano R. Algorithms for enhancing public health utility of national causes-of-death data. Population Health Metrics. 2010;8(1):9. DOI: 10.1186/1478-7954-8-9
13. Center for Disease Control and Prevention. Underlying Cause of Death, 1999-2018 Request. [Internet] Available at: https://wonder. cdc.gov/ucd-icd10.html 15. Laribi S, Aouba A, Nikolaou M, Lassus J, Cohen-Solal A, Plaisance P et al. Trends in death attributed to heart failure over the past two decades in Europe. European Journal of Heart Failure. 2012;14(3):234– 9. DOI: 10.1093/eurjhf/hfr182
14. Zayratyants O.V., Vasilyeva E.Yu., Mikhaleva L.M., Olenev A.S., Cherkasov S.N., Chernyaev A.L. et al. Rules for the formulation of pathoanatomic diagnosis, selection and coding of ICD10 causes of death. Methodical recommendations No. 45-56. Av. at: https://mosgorzdrav.ru/ru-RU/science/default/search.html?phrase=&year=2019&group_id=33&type=0. 2019.
15. Zayratyants O.V. Improving in reliability of data on causes of death – an important condition for achievement of target indicators of decline in mortality from the separate reasons. Russian Journal of Forensic Medicine. 2018;4(3):4–9.
16. Ministry of Health of Russian Federation. Methodological recommendations for the final comparison of the clinical and pathological/forensic diagnoses. Age group: children/adults. MR 109. Av. at: https://democenter.nitrosbase.com/clinrecalg5/Files/recomend/МР109.pdf. 2019.
Review
For citations:
Boytsov S.A., Drapkina O.M., Zayratyants O.V., Kakorina E.P., Samorodskaya I.V. Ways to solve the problem of heart failure statistics in clinical practice. Kardiologiia. 2020;60(10):13-19. (In Russ.) https://doi.org/10.18087/cardio.2020.10.n1039
Views:
10417
Email this article 
Post a Comment 
