Mortality and hospital morbidity from ischemic heart diseases (I20-I25, ICD-10) from 2005 to 2014 in the Split-Dalmatia County, Croatia

    Authors

    Keywords

    ischemic heart disease, mortality, hospital morbidity

    DOI

    https://doi.org/10.15836/ccar2016.503

    Full Text

    **Aim:** To define mortality and hospital morbidity from ischemic heart diseases (I20-I25, ICD-10) by sex and age in the Split-Dalmatia County, Croatia, in the period 2005.-2014. **Methods:** In this paper we used methods of descriptive epidemiology. In the analysis of mortality from IHD in the population of Split-Dalmatia County (SDC) we used database of Institute of Public Health Split-Dalmatia County formed on the basis of mortality and demographic data of the Croatian Bureau of Statistics. In the analysis of the hospital morbidity we used database formed on the basis of specific health and statistical reports (Patient-statistical form) of the population of SDC hospitalized in the Split University Hospital Center. The indicators of mortality and hospital morbidity were analysed as absolute number, percentage share, rate per 100.000 population. **Results:** During the 10-year study period IHD were first or second major single cause of death of the population of SDC, accounting for 17.3% of total mortality. The analysis of mortality by age and sex shows that age-specific mortality rates for IHD rise with age and are higher in men than in women in all age groups (**Table 1**). At the age over 65 there were recorded 86% of persons who died of IHD (76.9% men and 95.5% woman). IHD were the major cause of hospitalization of the population of SDC hospitalized in the Split University Hospital Center, with average 1.473 hospitalizations annually and the average length of stay for totals to 9.8 days. Crude mortality rates from IHD in the SDC were slightly lower than the Croatian average. ### Table 1: Average annual mortality from ischemic heart diseases by age and sex in the Split-Dalmatia County, 2005 - 2014. | **Age group** | **Total** | **Total** | **Male** | **Male** | **Female** | **Female** | | --- | --- | --- | --- | --- | --- | --- | | | No. | % | No. | % | No. | % | | **20-34** | 1.3 | 0.2 | 1.3 | 0.3 | 0.0 | 0.0 | | **35-64** | 109.9 | 13.8 | 92.1 | 22.8 | 17.8 | 4.5 | | **65+** | 685.1 | 86.0 | 311.2 | 76.9 | 373.9 | 95.5 | | **Total** | 796.3 | 100.0 | 404.6 | 100.0 | 391.7 | 100.0 | [†] Source: Institute of Public Health Split-Dalmatia County. **Conclusion:** Analyzing IHD mortality trends in the SDC, we have observed the rising mortality trend during the 10-year study period. To reduce mortality and morbidity from IHD we need to empower healthier lifestyle promotion programs, to change health-risk behavior and to encourage early detection of the most important risk factors for IHD (hypertension, diabetes, dyslipidemia, obesity). (1-3)

    Literature

    1. Study of the Population Health Condition and Health Activities. Volume I. Institute of Public Health Split-Dalmatia County. Split, 2006.-2015.
    2. Study of the Population Health Condition and Health Activities. Volume II. Institute of Public Health Split-Dalmatia County. Split, 2006.-2015.
    3. Croatian Health Service Yearbook. Croatian National Institute of Public Health. Zagreb, 2006.-2015.
    Cardiologia Croatica
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    Mortality and hospital morbidity from ischemic heart diseases (I20-I25, ICD-10) from 2005 to 2014 in the Split-Dalmatia County, Croatia

    Extended Abstract
    Issue10-11
    Published
    Pages503
    PDF via DOIhttps://doi.org/10.15836/ccar2016.503
    ischemic heart disease
    mortality
    hospital morbidity

    Authors

    Majda Gotovac*ORCIDInstitute of Public Health Split-Dalmatia County, Split, Croatia
    Ivana BočinaORCIDInstitute of Public Health Split-Dalmatia County, Split, Croatia
    Branka MedvidovićORCIDInstitute of Public Health Split-Dalmatia County, Split, Croatia
    Ingrid TripkovićORCIDInstitute of Public Health Split-Dalmatia County, Split, Croatia
    Jasna NinčevićORCIDInstitute of Public Health Split-Dalmatia County, Split, Croatia

    *Correspondence email: majdagotovac@yahoo.com.hr

    Full Text

    Aim: To define mortality and hospital morbidity from ischemic heart diseases (I20-I25, ICD-10) by sex and age in the Split-Dalmatia County, Croatia, in the period 2005.-2014.

    Methods: In this paper we used methods of descriptive epidemiology. In the analysis of mortality from IHD in the population of Split-Dalmatia County (SDC) we used database of Institute of Public Health Split-Dalmatia County formed on the basis of mortality and demographic data of the Croatian Bureau of Statistics. In the analysis of the hospital morbidity we used database formed on the basis of specific health and statistical reports (Patient-statistical form) of the population of SDC hospitalized in the Split University Hospital Center. The indicators of mortality and hospital morbidity were analysed as absolute number, percentage share, rate per 100.000 population.

    Results: During the 10-year study period IHD were first or second major single cause of death of the population of SDC, accounting for 17.3% of total mortality. The analysis of mortality by age and sex shows that age-specific mortality rates for IHD rise with age and are higher in men than in women in all age groups (Table 1). At the age over 65 there were recorded 86% of persons who died of IHD (76.9% men and 95.5% woman). IHD were the major cause of hospitalization of the population of SDC hospitalized in the Split University Hospital Center, with average 1.473 hospitalizations annually and the average length of stay for totals to 9.8 days. Crude mortality rates from IHD in the SDC were slightly lower than the Croatian average.

    Table 1: Average annual mortality from ischemic heart diseases by age and sex in the Split-Dalmatia County, 2005 - 2014.

    Row 1
    Total
    No.
    Total
    %
    Male
    No.
    Male
    %
    Female
    No.
    Female
    %
    20-34
    Total
    1.3
    Total
    0.2
    Male
    1.3
    Male
    0.3
    Female
    0.0
    Female
    0.0
    35-64
    Total
    109.9
    Total
    13.8
    Male
    92.1
    Male
    22.8
    Female
    17.8
    Female
    4.5
    65+
    Total
    685.1
    Total
    86.0
    Male
    311.2
    Male
    76.9
    Female
    373.9
    Female
    95.5
    Total
    Total
    796.3
    Total
    100.0
    Male
    404.6
    Male
    100.0
    Female
    391.7
    Female
    100.0

    Source: Institute of Public Health Split-Dalmatia County.

    Conclusion: Analyzing IHD mortality trends in the SDC, we have observed the rising mortality trend during the 10-year study period. To reduce mortality and morbidity from IHD we need to empower healthier lifestyle promotion programs, to change health-risk behavior and to encourage early detection of the most important risk factors for IHD (hypertension, diabetes, dyslipidemia, obesity). (1–3)

    Literature

    1. 1.
      Study of the Population Health Condition and Health Activities. Volume I. Institute of Public Health Split-Dalmatia County. Split, 2006.-2015.
    2. 2.
      Study of the Population Health Condition and Health Activities. Volume II. Institute of Public Health Split-Dalmatia County. Split, 2006.-2015.
    3. 3.
      Croatian Health Service Yearbook. Croatian National Institute of Public Health. Zagreb, 2006.-2015.