The Heart Failure Association Atlas: Heart Failure Epidemiology and Management Statistics 2019
Seferović P.M. Vardas P. Jankowska E.A. Maggioni A.P. Timmis A. Milinković I. Polovina M. Gale C.P. Lund L.H. Lopatin Y. Lainscak M. Savarese G. Huculeci R. Kazakiewicz D. Coats A.J.S. Berger R. Jahangirov T. Kurlianskaya A. Troisfontaines P. Droogne W. Hudic L. Tokmakova M. Glavaš D. Barberis V. Spinar J. Wolsk E. Uuetoa T. Tolppanen H. Kipiani Z. Störk S. Bauersachs J. Keramida K. Parissis J. Habon T. Gotsman I. Weinstein J. Ingimarsdottir I. Crowley J. Dalton B. Aspromonte N. Nodari S. Volterrani M. Rakisheva A. Mirrakhimov E. Kamzola G. Skouri H. Celutkiene J. Jovanova S. Vataman E. Cobac I. Pol P. Boer R. Lueder T. Straburzynska-Migaj E. Moura B. Chioncel O. Fomin I. Begrambekova J. Mareev Y. Goncalvesova E. Pinilla J. Lindmark K. Mueller C. Cavusoglu Y. Gardner R. Voronkov L.
June 2021John Wiley and Sons Ltd
European Journal of Heart Failure
2021#23Issue 6906 - 914 pp.
Aims: The Heart Failure Association (HFA) of the European Society of Cardiology (ESC) developed the HFA Atlas to provide a contemporary description of heart failure (HF) epidemiology, resources, reimbursement of guideline-directed medical therapy (GDMT) and activities of the National Heart Failure Societies (NHFS) in ESC member countries. Methods and results: The HFA Atlas survey was conducted in 2018–2019 in 42 ESC countries. The quality and completeness of source data varied across countries. The median incidence of HF was 3.20 [interquartile range (IQR) 2.66–4.17] cases per 1000 person-years, ranging from ≤2 in Italy and Denmark to >6 in Germany. The median HF prevalence was 17.20 (IQR 14.30–21) cases per 1000 people, ranging from ≤12 in Greece and Spain to >30 in Lithuania and Germany. The median number of HF hospitalizations was 2671 (IQR 1771–4317) per million people annually, ranging from <1000 in Latvia and North Macedonia to >6000 in Romania, Germany and Norway. The median length of hospital stay for an admission with HF was 8.50 (IQR 7.38–10) days. Diagnostic and management resources for HF varied, with high-income ESC member countries having substantially more resources compared with middle-income countries. The median number of hospitals with dedicated HF centres was 1.16 (IQR 0.51–2.97) per million people, ranging from <0.10 in Russian Federation and Ukraine to >7 in Norway and Italy. Nearly all countries reported full or partial reimbursement of standard GDMT, except ivabradine and sacubitril/valsartan. Almost all countries reported having NHFS or working groups and nearly half had HF patient organizations. Conclusions: The first report from the HFA Atlas has shown considerable heterogeneity in HF disease burden, the resources available for its management and data quality across ESC member countries. The findings emphasize the need for a systematic approach to the capture of HF statistics so that inequalities and improvements in care may be quantified and addressed.
Epidemiology , Heart failure , HFA Atlas , Hospitalization , Incidence , Prevalence
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Serbian Academy of Sciences and Arts, Belgrade, Serbia
Hygeia Heart Sector, Hygeia Group of Hospitals, Athens, Greece
European Society of Cardiology Health Policy Unit, European Heart Health Institute, European Heart Agency, Brussels, Belgium
Department of Heart Diseases, Wroclaw Medical University, and Centre for Heart Diseases, University Hospital, Wroclaw, Poland
ANMCO Research Center, Heart Care Foundation, Florence, Italy
Queen Mary University London, London, United Kingdom
Department of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia
Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom
Leeds Institute for Data Analytics, University of Leeds, Leeds, United Kingdom
Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
Department of Medicine, Karolinska Institute, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
Volgograd State Medical University, Regional Cardiology Centre Volgograd, Volgograd, Russian Federation
Department of Internal Medicine, and Department of Research and Education, General Hospital Murska Sobota, Murska Sobota, Slovenia
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
Centre of Clinical and Experimental Medicine, IRCCS San Raffaele Pisana, Rome, Italy
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
Georgia
Germany
Greece
Hungary
Israel
Iceland
Ireland
Italy
Kazakhstan
Kyrgyzstan
Latvia
Lebanon
Lithuania
North Macedonia
Moldova
Netherlands
Norway
Poland
Portugal
Romania
Russian Federation
Slovakia
Serbia
Slovenia
Spain
Sweden
Switzerland
Turkey
United Kingdom
Ukraine
Faculty of Medicine
Serbian Academy of Sciences and Arts
Hygeia Heart Sector
European Society of Cardiology Health Policy Unit
Department of Heart Diseases
ANMCO Research Center
Queen Mary University London
Department of Cardiology
Leeds Institute of Cardiovascular and Metabolic Medicine
Leeds Institute for Data Analytics
Department of Cardiology
Department of Medicine
Volgograd State Medical University
Department of Internal Medicine
Faculty of Medicine
Centre of Clinical and Experimental Medicine
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
Georgia
Germany
Greece
Hungary
Israel
Iceland
Ireland
Italy
Kazakhstan
Kyrgyzstan
Latvia
Lebanon
Lithuania
North Macedonia
Moldova
Netherlands
Norway
Poland
Portugal
Romania
Russian Federation
Slovakia
Serbia
Slovenia
Spain
Sweden
Switzerland
Turkey
United Kingdom
Ukraine
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