Coronary disease & ACSCohort study
Nationwide time trends in patients hospitalized for acute coronary syndrome: a worrying generational and social effect among women
- Nationwide cohort study
- National Health Insurance database
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
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
Summarised from the published abstract; every number is checked against it