Burden of comorbidities in heart failure patients in Türkiye
2024

Burden of Comorbidities in Heart Failure Patients in Türkiye

Sample size: 2722151 publication Evidence: high

Author Information

Author(s): ÇAVUŞOĞLU Yüksel, MURAT Selda, ŞAHİN Anıl, ÇÖLLÜOĞLU İnci Tuğçe, URAL Dilek, YILMAZ Mehmet Birhan, NALBANTGİL Sanem, ATA Naim, ÜLGÜ Mustafa Mahir, BİRİNCİ Şuayip, DEMİR Emre, KANIK Emine Arzu, ASARCIKLI Lale Dinç, ÇELİK Ahmet

Primary Institution: Scientific and Technological Research Council of Turkey (TUBITAK)

Hypothesis

We aimed to evaluate the frequency and burden of comorbidities in HF patients in Türkiye and their relationships with patients’ demographic characteristics.

Conclusion

The most common comorbidities in cases of HF in Türkiye are hypertension, atherosclerotic cardiovascular disease, dyslipidemia, diabetes mellitus, chronic obstructive pulmonary disease, anemia, and atrial fibrillation, respectively, and more than 90% of patients have two or more comorbidities.

Supporting Evidence

  • 97.6% of heart failure patients had hypertension.
  • 84.9% had atherosclerotic cardiovascular disease.
  • 59.5% had dyslipidemia.
  • 45.2% had diabetes mellitus.
  • 43.6% had chronic obstructive pulmonary disease.
  • 40.6% had anemia.
  • 37.1% had atrial fibrillation.
  • More than 90% of heart failure patients had two or more comorbidities.

Takeaway

Heart failure patients in Türkiye often have many other health problems, like high blood pressure and diabetes, which can make their condition worse.

Methodology

This study was a nationwide population-based retrospective cohort study using data from the national electronic database of the Turkish Ministry of Health.

Potential Biases

Potential bias due to reliance on clinician-reported ICD-10 codes and the possibility of undiagnosed HF patients.

Limitations

The study lacked data on ejection fraction and relied on ICD-10 codes input by clinicians, which may affect diagnosis accuracy.

Participant Demographics

The study included 2,722,151 heart failure patients, with 51.7% being female.

Digital Object Identifier (DOI)

10.55730/1300-0144.5934

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