PCV59 EPIDEMIOLOGICAL DISEASE BURDEN OF ACUTE MYOCARDIAL INFARCTION BASED ON ROUTINELY COLLECTED HEALTH INSURANCE CLAIMS DATA

Abstract

Cardiovascular diseases (CVD) have been the leading causes of death worldwide for decades accounting for 45% of all-cause mortality in Europe in 2017. Acute myocardial infarction is of crucial importance among cardiovascular diseases. The aim of our study was to determine the epidemiological disease burden of acute myocardial infarction. Data were derived from the financial database of the Hungarian National Health Insurance Fund Administration (NHIFA), for the year 2018. Data analysed included annual patient numbers, case numbers and prevalence of care utilisation per 100.000 population according to age groups and sex. The following health insurance treatment categories were included into our study: general practice care, home care, in- and outpatient care, medical imaging, laboratory diagnostics, drugs and medical aids. Patients with acute myocardial infarction were identified with the following code of the International Classification of Diseases 10threvision: I21. The highest national patient numbers were in general practice care: 24,311 men and 14,335 women, in total 38,646 patients, followed by pharmaceuticals (17,272 men and 10,584 women, in total 27,856 patients), and acute inpatient care (9,742 men and 6,619 women, in total 16,361 patients). Based on patient numbers in acute in-patient care, prevalence in 100,000 among men was 208.5 patients, among women 129.6 patients, in total 167.3. As regards sex distribution, in general practice care 62.9% of patients were men and 37.1%were women, in the use of pharmaceuticals, 62.0% of patients were men, 38.0% were women, in acute inpatient care 59.5% were men, 40.5% were women. Prevalence of acute myocardial infarction was 1.61 times higher among men than among women. High patient numbers found in general practice care may be due to the fact, that 36% of adults are not aware of the most important symptoms of acute myocardial infarction.