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Annual rate of newly treated atrial fibrillation by age and gender in France, 2010-2016.
European Journal of Epidemiology ( IF 13.6 ) Pub Date : 2019-12-23 , DOI: 10.1007/s10654-019-00594-3
Amélie Gabet 1 , Edouard Chatignoux 1 , Cécile Billionnet 2 , Géric Maura 2, 3 , Maurice Giroud 4 , Yannick Béjot 4 , Valérie Olié 1
Affiliation  

Few studies are available on atrial fibrillation (AF) burden at a whole country scale. The objective was to estimate the rate of AF patients newly treated with oral anticoagulants (OAC) in France each year between 2010 and 2016 and to describe age and gender differences. We used the French national health data system. For each year between 2010 and 2016, we identified patients aged over 20 initiating OAC. OAC indicated for the treatment of AF was determined by hospitalization diagnoses, specific procedures and registered long-term disease status, or a multiple imputation process for patients with no recorded information as to why they initiated OAC. Among the 421,453 individuals initiating OAC treatment in 2016, the estimated number of newly treated AF patients was 210,131, women accounting for 46%, patients under 65 years old 17%, and 21.4% of patients living in most deprived area. Age-standardized rates reached 400/100,000 inhabitants. Approximately 19% of patients were recently hospitalized for heart failure and 7% for stroke. Age-standardized rates increased by 35% over the study period in both genders, with a marked increase in patients under 55 (+ 41%) and those over 85 years old (+ 60%). Annual rates of AF patients newly treated with OAC increased by 35% between 2010 and 2016. Important differences in rates were observed according to age, gender and the deprivation level of the living area.



中文翻译:

2010-2016年法国按年龄和性别分列的新治疗房颤的年增长率。

在全国范围内,很少有关于房颤(AF)负担的研究。目的是评估2010年至2016年之间每年法国新接受口服抗凝剂(OAC)治疗的房颤患者的比例,并描述年龄和性别差异。我们使用了法国国家卫生数据系统。对于2010年至2016年之间的每一年,我们确定了20岁以上发起OAC的患者。对于没有进行OAC记录的信息的患者,通过住院诊断,具体程序和已登记的长期疾病状况或多次插补过程确定用于房颤治疗的OAC。在2016年开始进行OAC治疗的421,453名患者中,新治疗的AF患者的估计数量为210,131名,女性占46%,65岁以下的患者占17%,而21岁。4%的患者生活在最贫困的地区。年龄标准化比率达到400 / 100,000居民。最近约有19%的患者因心力衰竭而住院,而7%的患者因中风而住院。在研究期间,男女性别的年龄标准化率均增加了35%,其中55岁以下(+ 41%)和85岁以上(+ 60%)的患者显着增加。在2010年至2016年之间,新接受OAC治疗的房颤患者的年增长率增加了35%。根据年龄,性别和生活区域的贫困程度,观察到房颤患者的重要差异。55岁以下的患者(+ 41%)和85岁以上的患者(+ 60%)显着增加。在2010年至2016年之间,新接受OAC治疗的房颤患者的年增长率增加了35%。根据年龄,性别和生活区域的贫困程度,观察到房颤患者的重要差异。55岁以下的患者(+ 41%)和85岁以上的患者(+ 60%)显着增加。在2010年至2016年之间,新接受OAC治疗的房颤患者的年增长率增加了35%。根据年龄,性别和居住区域的贫困程度,观察到房颤患者的重要差异。

更新日期:2019-12-23
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