Coronary disease & ACS

Nationwide time trends in patients hospitalized for acute coronary syndrome: a worrying generational and social effect among women

Eur J Prev CardiolPublished Nationwide cohort study

An erratum to this article was published (Eur J Prev Cardiol, 10 Oct 2024 ↗)

Authors' conclusion

Despite encouraging overall trends in patients hospitalized for ACS rates, the increasing trends observed among middle-aged women, especially socially deprived women, is worrying.

Study context

Population
Patients hospitalized for acute coronary syndrome (ACS) in France, 2009–2021hospitalized in 2019
Participants
143,670 patients
Outcome
Time trends in annual age-standardized incidence of hospitalization for ACS
Methodological detailsNational Health Insurance database
  • National Health Insurance database

Main finding

As reported in the abstract

Age-standardized rate of hospitalized ACS

Age-standardized rate in 2019

210 per 100 000 person-year

Change 2009–2019, overall

−11.4%

Change 2009–2019, men

−11.2%

Change 2009–2019, women

−14.0%

Observational data: associations, not effects.

Further findings

ACS subtype in 2019

STSE-ACS
53,227
Mean age
68.8 years
Women
32%

Social deprivation

Higher standardized incidence among the most socially deprived

Management and prognosis by sex

Women less likely to receive coronarography and revascularization but higher excess in-hospital mortality
  • Adjusted for confounders

Original publication

Nationwide time trends in patients hospitalized for acute coronary syndrome: a worrying generational and social effect among women. Eur J Prev Cardiol. Published 5 October 2023. doi:10.1093/eurjpc/zwad288

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