Impact of the COVID-19 pandemic on incidence of coronary heart disease in Bavaria, Germany: an analysis of health claims data
Authors' conclusion
An overall decreasing CHD incidence rate was observed in men and women in the past decade but no clear impact of the pandemic was seen.
Study context
- Population
- Statutorily insured residents (≥20 years) of Bavaria, Germany797,074 new coronary heart disease (CHD) cases
- Comparison
- Pandemic period vs pre-pandemic period
- Outcome
- Quarterly age-standardised CHD incidence rate
Methodological detailsinterrupted time series regression, age-standardised (European Standard Population 2013)
- Interrupted time series regression
- Age-standardised (European Standard Population 2013)
Main finding
As reported in the abstract
CHD incidence rate trend
Pre-pandemic trend, men
−5.2% p.a.
95% CI −5.7% to −4.7%
Pre-pandemic trend, women
−6.6% p.a.
95% CI −7.3% to −6.0%
Pandemic trend, women (smaller decline)
−0.7% p.a.
95% CI −6.0% to 4.8%
Pandemic trend, men (smaller decline)
−1.7% p.a.
95% CI −6.0% to 2.8%
Further findings
Sex and seasonal differences
- Pre-pandemic and pandemic incidence rates lower in women than men
- Seasonal effects: higher in quarter 4 vs Q1-Q3
Original publication
Impact of the COVID-19 pandemic on incidence of coronary heart disease in Bavaria, Germany: an analysis of health claims data. Heart. Published 14 November 2024. doi:10. 1136/ heartjnl-2024-324181
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