Evolución de la incidencia de la enfermedad tromboembólica venosa en Galicia durante diez años (2006-2015) / Trends in the incidence of venous thromboembolism in Galicia over a ten year period

OBJETIVO: Analizar la tendencia evolutiva de episodios tromboembólicos graves en la Comunidad Autónoma de Galicia desde el 1 de enero de 2006 hasta el 31 de diciembre de 2015. MATERIAL Y MÉTODOS: Estudio observacional descriptivo en el Servicio Galego de Saúde durante 10 años (2006-2015). Se incluyeron pacientes con diagnóstico principal al alta de tromboembolismo pulmonar (TEP), ictus o trombosis venosa profunda (TVP). Fuente de datos: Servizo de admisión e documentación clínica, Subdirección de Información e Servizos Tecnolóxicos e Instituto Galego de Estatística. Variables de medida: número de casos nuevos de tromboembolismos acontecidos en un año, incidencia acumulada (número de casos nuevos/100.000 habitantes y año), mortalidad durante el ingreso hospitalario y porcentaje anual del cambio (APC). RESULTADOS: Se identificaron 50.611 eventos tromboembólicos. La mayor incidencia de tromboembolismo se encontró para ictus en hombres de 80 o más años con 940,84 casos nuevos por 100.000 habitantes/año. Todos los tromboembolismos fueron más frecuentes en hombres a excepción del TEP en mujeres jóvenes y las de mayor edad. El total de eventos tromboembólicos mostró un incremento continuo del 2,20% anual. La evolución temporal de la incidencia acumulada del TEP fue más pronunciada para mujeres entre 2006 y 2011 con un incremento anual del 10,65% y un aumento de menor magnitud a partir de 2011. La evolución de la incidencia acumulada del ictus mostró un APC de 1,56% en mujeres. CONCLUSIÓN: Este estudio pone de manifiesto un incremento en la tendencia evolutiva de los ingresos por TEP e ictus durante el periodo 2006-2015 en Galicia

OBJECTIVE: To analyse the trend of serious thromboembolic episodes in Galicia from 2006 to 2015. METHODS: A retrospective observational study was performed using the public network of the Galician Health Service over the 10 year period (2006-2015). It included patients with a primary diagnosis in their discharge report of pulmonary thromboembolism (PTE), stroke, or deep vein thrombosis (DVT). Data source: Servizo de admisión e documentación clínica, Subdirección de Información e Servizos Tecnolóxicos e Instituto Galego de Estatística. Measurement variables: the number of new cases of thromboembolism occurred in one year, cumulative incidence (number of new cases/ 100,000 persons years), mortality during hospital admission, and annual percentage change (APC). RESULTS: A total of 50,611 hospital admissions due to a venous thromboembolic event were identified. The highest incidence was found for stroke in men aged 80 years or older, with 940.84 new cases per 100,000 population per year. All thromboembolic events were more common in men, with the exception of PTE in young and older women. A continued increased was identified in all the thromboembolic events with an APC of 2.20%. The temporal evolution of the cumulative incidence for PTE was split into two segments, with an annual increase of 10.65% from 2006 to 2011, and a smaller increase since 2011. The cumulative incidence trend showed an APC for stroke of 1.56%. CONCLUSION: This study reveals an increase in the evolutionary trend of hospital admissions for PTE and stroke during the period 2006-2015 in Galicia

[Trends in the incidence of venous thromboembolism in Galicia over a ten year period]. / Evolución de la incidencia de la enfermedad tromboembólica venosa en Galicia durante diez años (2006-2015).

OBJECTIVE: To analyse the trend of serious thromboembolic episodes in Galicia from 2006 to 2015. METHODS: A retrospective observational study was performed using the public network of the Galician Health Service over the 10 year period (2006-2015). It included patients with a primary diagnosis in their discharge report of pulmonary thromboembolism (PTE), stroke, or deep vein thrombosis (DVT). DATA SOURCE: Servizo de admisión e documentación clínica, Subdirección de Información e Servizos Tecnolóxicos e Instituto Galego de Estatística. Measurement variables: the number of new cases of thromboembolism occurred in one year, cumulative incidence (number of new cases/ 100,000 persons years), mortality during hospital admission, and annual percentage change (APC). RESULTS: A total of 50,611 hospital admissions due to a venous thromboembolic event were identified. The highest incidence was found for stroke in men aged 80 years or older, with 940.84 new cases per 100,000 population per year. All thromboembolic events were more common in men, with the exception of PTE in young and older women. A continued increased was identified in all the thromboembolic events with an APC of 2.20%. The temporal evolution of the cumulative incidence for PTE was split into two segments, with an annual increase of 10.65% from 2006 to 2011, and a smaller increase since 2011. The cumulative incidence trend showed an APC for stroke of 1.56%. CONCLUSION: This study reveals an increase in the evolutionary trend of hospital admissions for PTE and stroke during the period 2006-2015 in Galicia.