Impact of the Economic Crisis on Endocarditis Mortality in Spain: A Nationwide Study
| Autor: | María Fe Muñoz-Moreno, Rocío López-Herrero, María Heredia-Rodríguez, F. Javier Álvarez, Gema Ruiz Lopez del Prado, Esther Gómez-Sánchez, Eduardo Tamayo, Belén Sánchez-Quirós, Juan Bustamante-Munguira, Pablo Jorge-Monjas, Salvador Resino, Mario Lorenzo-López, Estefanía Gómez-Pesquera, Christian Ortega-Loubon |
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| Rok vydání: | 2021 |
| Předmět: |
Endocarditis
business.industry Incidence 030503 health policy & services Health Policy media_common.quotation_subject Incidence (epidemiology) medicine.disease Recession 03 medical and health sciences Economic Recession 0302 clinical medicine Risk Factors Spain Infective endocarditis Financial crisis medicine Humans 030212 general & internal medicine 0305 other medical science business Retrospective Studies media_common Demography |
| Zdroj: | International Journal of Health Services. 52:383-391 |
| ISSN: | 1541-4469 0020-7314 |
| DOI: | 10.1177/00207314211012357 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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