Coronary disease & ACS

Impact of the COVID-19 pandemic on incidence of coronary heart disease in Bavaria, Germany: an analysis of health claims data

HeartPublished Interrupted time series 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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