V. Olié

National trends in rate of patients hospitalized for heart failure and heart failure mortality in France, 2000–2012

The objectives of this study were to describe annual trends in patients hospitalized for heart failure (HF) and HF‐associated mortality rates in France between 2000 and 2012.

Acute coronary syndrome in women: rising hospitalizations in middle-aged French women, 2004–14

Aims We aimed to analyse trends in annual incidence of hospitalized acute coronary syndrome (ACS) in France from 2004 to 2014. Methods and results Primary diagnosis of ACS and subtypes on admissions were selected in national and exhaustive French Hospitalization Database from 2004 to 2014. Age-standardized rates were computed using standardization on the census of the 2010 European population and mean annual percent changes were estimated by using Poisson regression model. In 2014, 113 407 patients, 36u2009480 women (32.2%) and 76 927 men (67.8%) were hospitalized for ACS. Among women, the proportion aged under 65 years was 25.2% (nu2009=u20099206) and there was 34.4% of STEMI, 18.2% of NSTEMI and 47.4% of UA. From 2004 to 2014, the rates of age-standardized admissions for ACS in women less than 65 years old increased by 6.3%.This rise in ACS was driven by significant increases in STEMI (+21.7%) and NSTEMI (+53.7%). The largest increase in STEMI mean annual percent change was observed among women aged 45–54 years old (+3.6%/per year). After 65 years of age, significant decreases in all ACS types were observed. Conclusion This nationwide study showed substantial rising trends in STEMI annual incidence, especially among younger women. This increase could be attributed to increase in smoking and obesity. Efforts to strengthen primary prevention of CVD in younger women is needed as the main risk factors are modifiable, and as there is a growing evidence of higher short-term mortality of CHD in women.

Time trends in hospital admissions and mortality due to abdominal aortic aneurysms in France, 2002–2013

Background Abdominal aortic aneurysms (AAA) are serious disease with a high fatality rate but recent epidemiologic data in France are lacking. Purpose Our objective was to estimate, in France, the hospitalization, in hospital mortality and mortality rates due to AAA and to analyze their trends over time. Methods Hospitalization data were extracted from the hospital discharge summaries in the national database between 2002 and 2013. The analysis covered all patients hospitalized for AAA as a principal diagnosis. During the same period, all death certificates mentioning AAA as an initial cause of death were included in the study. Crude and standardized rates were calculated according to age and sex. Poisson regression was used to analyze the average annual percent change. Results In 2013, there were 8 853 patients hospitalized for AAA in France (7 986 unruptured and 867 ruptured). Between 2002 and 2013, the rate of patients hospitalized for unruptured AAA decreased slightly in men (−5.0%) but increased in women (+5.2%). By contrast, the rate of patients hospitalized for ruptured AAA has decreased by more than 20% in men and women. The proportion of endovascular treatment of unruptured AAA rose from less than 10% in 2005 to 35% in women and 40% in men in 2013. In 2013, 939 deaths from AAA were recorded. Mortality for this disease declined significantly from 2002 to 2013 in men and women. Conclusion The unfavorable epidemiological trends in women and important evolution of the management of AAA call for an epidemiological surveillance of this disease.

0212: Trends in myocardial infarction hospitalizations and mortality rates in France, 2000-2013

Aims The objective was to describe the epidemiology of myocardial infarction (MI) in France since 2000. Methods Patients hospitalized with a principal discharge diagnosis of MI and death certificates mentioning MI as underlying cause of death were selected from 2002 to 2013 and from 2000 to 2011 respectively. Time trends were described by sex and age-group. Results In 2013, 61 611 patients (42 159 men and 19 452 women) were hospitalized for MI. Between 2002 and 2013, a significant decline in rates of women hospitalized for MI was observed amongxa0≥65ys (-31.8%), contrasting with a substantial increase among womenxa0 Conclusion Despite a large decline of mortality, unfavorable trends in patients hospitalized for MI have been observed in young women over the period and since 2008 in men. These raise concerns about the increase prevalence of cardiovascular risk factors, especially tobacco, obesity and diabetes, among young people.