Arrhythmias & electrophysiology

One year healthcare consumption prior to sudden cardiac death

Eur Heart J Qual Care Clin OutcomesPublished Healthcare consumption patterns study

Authors' conclusion

This study highlights significant variability in healthcare use during the year preceding SCD. Nearly half of patients had frequent healthcare contacts, suggesting opportunities for earlier identification and prevention.

Study context

Population
Sudden cardiac death (SCD) cases collected from the Paris Sudden Death Expertise Centre (SDEC) from 2011 to 2020SCD included in the study
Participants
21,912 cases
Comparison
The SDEC population was compared with national-level data from the French population, categorized as either above or below the population average, across 2 dimensions: number of hospital diagnoses (primary diagnosis or emergency room visit) and outpatient visits (general practitioner or cardiologist visit)
Outcome
Healthcare consumption patterns compared with the general population
Follow-up
Year prior to SCD
Methodological detailselectronic health records from the French National Health Insurance System, compared with national-level data from the French population
  • Electronic health records from the French National Health Insurance System
  • Compared with national-level data from the French population

Main finding

As reported in the abstract

GroupValueOutpatient visitsInpatient visits
Low-interaction group14%3.8 times fewer13.5 times fewer
Intermediate group40%1.5 times fewer5.8 times more
High-interaction group46%2.7 times more7.9 times more

Value

Low-interaction group14%
Intermediate group40%
High-interaction group46%

Outpatient visits

Low-interaction group3.8 times fewer
Intermediate group1.5 times fewer
High-interaction group2.7 times more

Inpatient visits

Low-interaction group13.5 times fewer
Intermediate group5.8 times more
High-interaction group7.9 times more

Original publication

One year healthcare consumption prior to sudden cardiac death. Eur Heart J Qual Care Clin Outcomes. Published 30 September 2025. doi:10.1093/ehjqcco/qcaf118

Summarised from the published abstract; every number is checked against it

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