Analysis of the information about the incidence of heart failure, associated mortality and burden on the healthcare system, based on the encoding data in 15 subjects of the Russian Federation
N. E. Zvartau,
A. E. Solovyova,
G. V. Endubaeva,
A. E. Medvedev,
A. E. Solovyov,
N. G. Avdonina,
A. N. Yakovlev,
E. A. Apsheva,
D. V. Duplyakov,
Y. V. Zolotova,
H. M. Koloeva,
K. S. Kostina,
E. S. Levina,
R. H. Lomovtseva,
V. E. Lvov,
I. E. Nikolaeva,
N. A. Svetlova,
G. N. Spasenkov,
I. V. Fayans,
N. S. Shkurina,
S. V. Villevalde,
E. V. Shlyakhto https://doi.org/10.15829/1560-4071-2023-5339
Abstract
Aim. This study aims to assess the incidence of heart failure (HF) and associated mortality, and also the burden on the healthcare system in the subjects of Russian Federation, based on the HF encoding data.
Material and methods. We made a structured request for the number of patients with HF and the number of cases of providing medical care in 2019. HF was understood to mean the presence of at least one of the codes I09.9, I11.0, I13.0, I13.2, I25.5, I42.0, I42.5, I42.6, I42.7, I42.8, I42.9, I43.0, I43.1, I43.2, I43.8, I50.X (expanded encoding) according to International Classification of Diseases 10th Revision. The code I50.X was considered separately (the standard HF enconding).
Results. The information about the incidence of HF, associated mortality and burden on the healthcare system was obtained from 15 subjects (53,6% from those that gave the data according to the request; the adult population is 18,9% from total adult population of Russian Federation). We noted significant heterogeneity between the regions. The median of the incidence of HF and associated mortality was 2,6 and 3,2% in accordance with the data of the expanded encoding, and 0,21 and 11,3% — according to the standard HF encoding. The presence of the code I50.x was observed in average in 9,4% of all cases of HF and defined the patients who frequently used emergency medical services and were frequently hospitalized (60 (18, 96) and 48 (20, 137) cases per 100 patients versus 9 (5, 24) and 17 (10, 70) cases in the expanded encoding).
Conclusion. According to the encoding, the indicators of the incidence of HF and associated mortality vary greatly between the regions, the median values are 2,6 and 3,2% in expanded and 0,21 and 11,3% in standard approaches. In the standard encoding, there were more frequent use of emergency medical services and less number of outpatient visits. The development and introduction of a unified approach to encoding and recording the cases of HF will provide obtaining objective statistical data and using them for management decisions.
About the Authors
N. E. Zvartau
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Competing Interests:
None
A. E. Solovyova
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Associate professor at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Head of the department of scientific support of staffing at the Division for the Federal Projects Implementation, Almazov National Medical Research Centre.
Competing Interests:
None
G. V. Endubaeva
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, Leading Specialist, Head of the Monitoring Group for the Special Presentation of Programs at the Division for the Federal Projects Implementation, Almazov National Medical Research Centre.
Competing Interests:
None
A. E. Medvedev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, postgraduate student at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Specialist of the Department of Drug Provision and Circulation of Medical Devices at the Division for the Federal Projects Implementation, Almazov National Medical Research Centre.
Competing Interests:
None
A. E. Solovyov
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Head of the Regional Cooperation Department of the Regional Health Development Service at the Division for the Federal Projects Implementation, Almazov National Medical Research Centre.
Competing Interests:
None
N. G. Avdonina
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, Assistant Professor at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Head of the Department of Information Support and Telemedicine Management at the Division for the Federal Projects Implementation, Almazov National Medical Research Centre.
Competing Interests:
None
A. N. Yakovlev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Associate professor at the Department of Anesthesiology Reanimatology, Faculty of Advanced Training, Institute of Medical Education, Head of the Research Laboratory for Acute Coronary Syndrome, Head of the Regional Health Development Service at the Division for the Implementation of Federal Projects, Almazov National Medical Research Centre.
Competing Interests:
None
E. A. Apsheva
Cardiology Dispensary
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Kabardino-Balkarian Republic, Deputy сhief physician for the medical care in the Cardiology Dispensary.
Competing Interests:
None
D. V. Duplyakov
Samara State Medical University; Samara Regional Cardiological Dispensary named after V.P. Polyakov
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, chief supernumerary cardiologist of the Samara Region, head of the department of propaedeutic therapy of the Samara State Medical University, deputy chief physician for medical care at the Samara Regional Cardiological Dispensary named after V.P. Polyakov.
Competing Interests:
None
Y. V. Zolotova
Orenburg Regional Clinical Hospital named after V.I. Voynov
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary Cardiologist of the Orenburg Region, cardiologist at the Orenburg Regional Clinical Hospital named after V.I. Voynov.
Competing Interests:
None
H. M. Koloeva
Republican Cardiological Dispensary (Republic of Ingushetia)
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Republic of Ingushetia.
Competing Interests:
None
K. S. Kostina
Northern State Medical University; Arkhangelsk Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Arkhangelsk region, Assistant Professor at the Department of Hospital Therapy and Endocrinology at the Northern State Medical University, Deputy Chief Physician for Therapeutic Care of the Arkhangelsk Regional Clinical Hospital.
Competing Interests:
None
E. S. Levina
Department of Health, Labor and Social Protection of the Population of the Nenets Autonomous District
Russian Federation
Competing Interests:
Russian Federation
MD, Head of the Department of Health, Labor and Social Protection of the Population of the Nenets Autonomous District.
Competing Interests:
None
R. H. Lomovtseva
Novgorod Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
MD, Chief supernumerary cardiologist of the Novgorod region, first deputy chief physician, deputy chief physician for quality control and safety of medical care at the Novgorod Regional Clinical Hospital.
Competing Interests:
None
V. E. Lvov
Leningrad Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Leningrad region, Head of the region vascular center at the Leningrad Regional Clinical Hospital.
Competing Interests:
None
I. E. Nikolaeva
Bashkir Medical University; Republican Cardiology Center
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, chief supernumerary cardiologist of the Bashkortostan Republic, chairman of the Bashkortostan branch of the Russian Society of Cardiology, chairman of the Association of Specialists in the Treatment of Cardiovascular Diseases of the Bashkortostan Republic, head of the Department of endovascular diagnostics and treatment at Institute of Advanced Training, Bashkir Medical University, chief physician of the Republican Cardiology Center.
Competing Interests:
None
N. A. Svetlova
Republican Cardiological Dispensary
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Chuvash Republic, deputy chief physician for Clinical and expert issues at the Republican Cardiological Dispensary.
Competing Interests:
None
G. N. Spasenkov
Clinical Cardiology Dispensary
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Perm Region, cardiologist of the Clinical Cardiology Dispensary.
Competing Interests:
None
I. V. Fayans
Stavropol Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
MD, Chief supernumerary cardiologist of the Stavropol Territory, Head of the сardiology department №1 at the Stavropol Regional Clinical Hospital.
Competing Interests:
None
N. S. Shkurina
Pskov Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
MD, chief supernumerary cardiologist of the Pskov region, cardiologist of the department of emergency cardiology at the Pskov Regional Clinical Hospital.
Competing Interests:
None
S. V. Villevalde
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Head of the Analysis and Prospective Planning service at the Division for the Implementation of Federal Projects, Head of the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Almazov National Medical Research Centre.
Competing Interests:
None
E. V. Shlyakhto
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Academician of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, President of the Russian Society of Cardiology, Chief Specialist Cardiologist of the Northwestern Federal District, Southern Federal District, Northwestern Federal District, Volga Federal District, General Director of the Almazov National Medical Research Centre.
Competing Interests:
None
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For citations:
Zvartau N.E., Solovyova A.E., Endubaeva G.V., Medvedev A.E., Solovyov A.E., Avdonina N.G., Yakovlev A.N., Apsheva E.A., Duplyakov D.V., Zolotova Y.V., Koloeva H.M., Kostina K.S., Levina E.S., Lomovtseva R.H., Lvov V.E., Nikolaeva I.E., Svetlova N.A., Spasenkov G.N., Fayans I.V., Shkurina N.S., Villevalde S.V., Shlyakhto E.V. Analysis of the information about the incidence of heart failure, associated mortality and burden on the healthcare system, based on the encoding data in 15 subjects of the Russian Federation. Russian Journal of Cardiology. 2023;28(2S):5339. https://doi.org/10.15829/1560-4071-2023-5339
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