잠시만 기다려 주세요. 로딩중입니다.

Incidence and Mortality Rates of Thoracic Aortic Dissection in Korea ? Inferred from the Nationwide Health Insurance Claims

Journal of Korean Medical Science 2020년 35권 40호 p.360 ~ 360
이준호, 조용일, 조양현, 강형구, 임태호, 장효준, 노선균, Kim Hyuck,
소속 상세정보
이준호 ( Lee Jun-Ho ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Thoracic and Cardiovascular Surgery
조용일 ( Cho Yong-Il ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Emergency Medicine
조양현 ( Cho Yang-Hyun ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Thoracic and Cardiovascular Surgery
강형구 ( Kang Hyung-Goo ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Emergency Medicine
임태호 ( Lim Tae-Ho ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Emergency Medicine
장효준 ( Jang Hyo-Jun ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Thoracic and Cardiovascular Surgery
노선균 ( Ro Sun-Kyun ) - Hanyang University College of Medicine Hanyang University Guri Hospital Department of Thoracic and Cardiovascular Surgery
 ( Kim Hyuck ) - Hanyang University College of Medicine Hanyang University Seoul Hospital Department of Thoracic and Cardiovascular Surgery

Abstract


Background: Aortic dissection (AD) is one of the most catastrophic diseases and is associated with high morbidity and mortality. The aim of this study is to investigate the hospital incidence and mortality rates of thoracic AD in Korea using a nationwide database.

Methods: We conducted a nationwide population-based study using the health claims data of the National Health Insurance Service in Korea. From 2005 to 2016, adult patients newly diagnosed with AD were included. All patients were divided into the following four subgroups by treatment: type A surgical repair (TASR), type B surgical repair (TBSR), thoracic endovascular aortic repair (TEVAR), and medical management (MM). The incidence rate, mortality rate, and risk factors of in-hospital mortality were evaluated.

Results: In total, 18,565 patients were newly diagnosed with AD (TASR, n = 4,319 [23.3%]; TBSR, n = 186 [1.0%]; TEVAR, n = 697 [3.8%]; MM, n = 13,363 [72.0%]). The overall AD incidence rate was 3.76 per 100,000 person-years and exhibited a gradual increase during the study period (3.29 to 4.82, P < 0.001). The overall in-hospital mortality rate was 10.84% and remained consistent (P = 0.57). However, the in-hospital mortality rate decreased in the TASR subgroup (18.23 to 11.27%, P = 0.046). An older age, the female sex, hypertension, and chronic kidney disease were independent risk factors for in-hospital mortality.

Conclusion: The incidence of thoracic AD has gradually increased in Korea. The in-hospital mortality in the TASR subgroup decreased over the decade, although the overall mortality of AD patients did not change.

키워드

Aortic Dissection; Incidence; Mortality; Population-based Study

원문 및 링크아웃 정보

 

등재저널 정보