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Titulo |
Impact of the Economic Crisis on Endocarditis Mortality in Spain: A Nationwide Study |
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Autoría |
Ortega-Loubon C, Ruiz López Del Prado G, Muñoz-Moreno MF, Gómez-Sánchez E, López-Herrero R, Sánchez-Quirós B, Lorenzo-Lopez M, Gómez-Pesquera E, Jorge-Monjas P, Bustamante-Munguira J, Ãlvarez FJ, Resino S, Tamayo E, Heredia-RodrÃguez M. |
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Fuente |
Int J Health Serv. 2021 Apr 29:207314211012357. doi: 10.1177/00207314211012357. Online ahead of print. 10.1177/00207314211012357 |
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Resumen |
Economic recession has dire consequences on overall health. None have explored the impact of economic crisis (EC) on infective endocarditis (IE) mortality. We conducted a retrospective, nationwide, temporal trend study analyzing mortality trends by age, sex, and adverse outcomes in patients diagnosed with IE in Spain from 1997 to 2014. Data were divided into two subperiods: pre-EC (January 1997-August 2008) and post-EC (September 2008-December 2014). A total of 25 952 patients presented with IE. The incidence increased from 301.4 to 365.1 per 10 000 000 habitants, and the mortality rate rose from 24.3% to 28.4%. Those aged >75 years experienced more adverse outcomes. Complications due to sepsis, shock, acute kidney injury requiring dialysis, and heart failure increased after the EC onset, and expenditures soared to €16 216. Expenditure per community was related to mortality (P < .001). The EC resulted as an independent predictor for mortality (hazard ratio 1.06; 95% confidence interval 1.01-1.11). Incidence and mortality rate in patients with IE after the onset of the EC have increased as a result of rising adverse outcomes despite an overall increased investment. Keywords: financial crisis; incidence; infective endocarditis; mortality; tendency. |
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URL |
www.ncbi.nlm.nih.gov/pubmed/33913368 |
