Relación entre las tasas de gripe estacional y las tasas de hospitalización y mortalidad hospitalaria por enfermedades cardiovasculares agudas en una región española / Relationship between seasonal influenza rates and hospitalization and mortality rates due to acute cardiovascular diseases in a Spanish region
Med. clín (Ed. impr.)
; 153(4): 133-140, ago. 2019. graf, tab
Article
in Spanish
| IBECS
| ID: ibc-183444
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción y objetivo:
La infección por virus de la gripe puede contribuir a la morbimortalidad cardiovascular. El objetivo de este estudio es analizar si el incremento en las tasas de gripe estacional se asocia a un crecimiento en las tasas de hospitalización y mortalidad hospitalaria por enfermedades cardiovasculares agudas (ECVA).Métodos:
Estudio de cohortes retrospectivo sobre altas hospitalarias por ECVA (infarto de miocardio, angina inestable, insuficiencia cardiaca, accidente cerebrovascular isquémico) del sistema hospitalario de Castilla y León durante el periodo 2001-2015. Se analizaron tasas de hospitalización y mortalidad hospitalaria, y tasas de gripe en Castilla y León. Para calcular las tasas de hospitalización y mortalidad se empleó el Conjunto Mínimo Básico de Datos (CMBD); para las tasas de gripe, los informes semanales del Sistema Centinela de Vigilancia de la Gripe en España (Instituto de Salud Carlos III). Se realizó análisis estadístico de regresión lineal y multivariante de regresión logística.Resultados:
Se estudiaron 239.586 ECVA (infarto, 55.004; angina inestable, 15.406; insuficiencia cardiaca, 11.1647; accidente cerebrovascular, 57.529). Tasas de gripe ascendentes se ajustaron a mortalidad creciente por todas las enfermedades, salvo angina inestable. Se observó una correlación lineal entre tasas de gripe y de hospitalización (r2=0,03; p=0,02) y mortalidad (r2=0,14; p<0,001) por ECVA. Las tasas de gripe se asociaron, como variables independientes, a un aumento de la mortalidad por ECVA, siendo mayor en tasas >139 casos/100.000 habitantes (OR 1,25; p<0,001).Conclusiones:
Las tasas de hospitalización y mortalidad hospitalaria por ECVA en el periodo estudiado aumentaron en relación con las tasas de infección por el virus de la gripeABSTRACT
Introduction and objective:
Influenza virus infection can contribute to cardiovascular morbidity and mortality. The purpose of this study is to confirm if the increase in seasonal influenza rates is associated with a growth in hospitalisation and mortality rates for acute cardiovascular diseases (ACVD).Methods:
Retrospective cohort study of hospital discharges due to ACVD (myocardial infarction, unstable angina, heart failure and ischemic stroke) in the Castilla y León (Spain) hospital system between 2001 and 2015. Hospitalisation and hospital mortality rates due to ACVD, and influenza rates in Castilla y León between 2001 and 2015 were studied. To calculate hospitalisation and mortality rates, the hospital discharges database was used; for influenza rates, the weekly reports of the Sentinel System for the surveillance of influenza in Spain (Carlos III Health Institute) were used. A statistical analysis of linear and multivariate logistic regressions was performed.Results:
239,586 ACVD (myocardial infarction 55,004; unstable angina 15,406; heart failure 11,1647; ischemic stroke 57,529) were studied. Increasing rates of influenza were associated with increased mortality due to ACVD and all the diseases studied, except unstable angina. A linear correlation was observed between influenza rates and hospitalisation (r2=0.03; p=0.02) and mortality (r2=0.14; p<0.001) rates by ACVD. Virtually all influenza rates were associated, as independent variables, to an increase in mortality due to ACVD, being higher in rates>139/100,000 inhabitants (OR 1.25; p<0.001).Conclusions:
The rates of hospitalisation and in-hospital mortality due to ACVD in the period 2001-2015 increased in relation to infection rates due to the influenza virus
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Cardiovascular Diseases
/
Cohort Studies
/
Hospital Mortality
/
Influenza, Human
/
Hospitalization
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
Spanish
Journal:
Med. clín (Ed. impr.)
Year:
2019
Document type:
Article
Institution/Affiliation country:
Complejo Asistencial Universitario de Palencia/España