Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database
The epidemiology of myocarditis is unknown and based mainly on small single-centre studies. The study aimed to evaluate the current incidence, clinical characteristics, management and outcomes of patients hospitalized due to myocarditis in a general population. The study was registered in ClinicalTr...
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/20/4672 |
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| author | Krzysztof Ozierański Agata Tymińska Marcin Kruk Beata Koń Aleksandra Skwarek Grzegorz Opolski Marcin Grabowski |
| author_facet | Krzysztof Ozierański Agata Tymińska Marcin Kruk Beata Koń Aleksandra Skwarek Grzegorz Opolski Marcin Grabowski |
| author_sort | Krzysztof Ozierański |
| collection | DOAJ |
| description | The epidemiology of myocarditis is unknown and based mainly on small single-centre studies. The study aimed to evaluate the current incidence, clinical characteristics, management and outcomes of patients hospitalized due to myocarditis in a general population. The study was registered in ClinicalTrials.gov (NCT04827706). The nationwide MYO-PL (the occurrence, trends, management and outcomes of patients with myocarditis in Poland) database (years 2009–2020) was created to identify hospitalization records with a primary diagnosis of myocarditis according to the International Classification of Diseases and Related Health Problems, 10th Revision (ICD 10), derived from the database of the national healthcare insurer. We identified 19,978 patients who were hospitalized with suspected myocarditis for the first time, of whom 74% were male. The standardized incidence rate of myocarditis ranged from 1.15 to 14 per 100,000 people depending on the age group and was the highest in patients aged 16–20 years. The overall incidence increased with time. The performance of the recommended diagnostic tests (in particular, endomyocardial biopsy) was low. Relative five-year survival ranged from 0.99 to 0.56—worse in younger females and older males. During a five-year follow-up, 6% of patients (3.7% and 6.9% in females and males, respectively) were re-hospitalized for myocarditis. Surprisingly, females more frequently required hospitalization due to heart failure/cardiomyopathy (10.5%) and atrial fibrillation (5%) than compared to males (7.3% and 2.2%, respectively) in the five-year follow up. In the last ten years, the incidence of suspected myocarditis increased, particularly in males. Survival rates for patients with myocarditis were worse than in the general population. Management of myocarditis requires significant improvement. |
| first_indexed | 2024-03-10T06:29:01Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:29:01Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9adb26ca18a940bf9b34e448c248ff3d2023-11-22T18:41:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020467210.3390/jcm10204672Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide DatabaseKrzysztof Ozierański0Agata Tymińska1Marcin Kruk2Beata Koń3Aleksandra Skwarek4Grzegorz Opolski5Marcin Grabowski6First Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandNational Health Fund, 02-528 Warsaw, PolandNational Health Fund, 02-528 Warsaw, PolandFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, PolandThe epidemiology of myocarditis is unknown and based mainly on small single-centre studies. The study aimed to evaluate the current incidence, clinical characteristics, management and outcomes of patients hospitalized due to myocarditis in a general population. The study was registered in ClinicalTrials.gov (NCT04827706). The nationwide MYO-PL (the occurrence, trends, management and outcomes of patients with myocarditis in Poland) database (years 2009–2020) was created to identify hospitalization records with a primary diagnosis of myocarditis according to the International Classification of Diseases and Related Health Problems, 10th Revision (ICD 10), derived from the database of the national healthcare insurer. We identified 19,978 patients who were hospitalized with suspected myocarditis for the first time, of whom 74% were male. The standardized incidence rate of myocarditis ranged from 1.15 to 14 per 100,000 people depending on the age group and was the highest in patients aged 16–20 years. The overall incidence increased with time. The performance of the recommended diagnostic tests (in particular, endomyocardial biopsy) was low. Relative five-year survival ranged from 0.99 to 0.56—worse in younger females and older males. During a five-year follow-up, 6% of patients (3.7% and 6.9% in females and males, respectively) were re-hospitalized for myocarditis. Surprisingly, females more frequently required hospitalization due to heart failure/cardiomyopathy (10.5%) and atrial fibrillation (5%) than compared to males (7.3% and 2.2%, respectively) in the five-year follow up. In the last ten years, the incidence of suspected myocarditis increased, particularly in males. Survival rates for patients with myocarditis were worse than in the general population. Management of myocarditis requires significant improvement.https://www.mdpi.com/2077-0383/10/20/4672cardiomyopathychildrenendomyocardial biopsyepidemiologyheart failuremortality |
| spellingShingle | Krzysztof Ozierański Agata Tymińska Marcin Kruk Beata Koń Aleksandra Skwarek Grzegorz Opolski Marcin Grabowski Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database Journal of Clinical Medicine cardiomyopathy children endomyocardial biopsy epidemiology heart failure mortality |
| title | Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database |
| title_full | Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database |
| title_fullStr | Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database |
| title_full_unstemmed | Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database |
| title_short | Occurrence, Trends, Management and Outcomes of Patients Hospitalized with Clinically Suspected Myocarditis—Ten-Year Perspectives from the MYO-PL Nationwide Database |
| title_sort | occurrence trends management and outcomes of patients hospitalized with clinically suspected myocarditis ten year perspectives from the myo pl nationwide database |
| topic | cardiomyopathy children endomyocardial biopsy epidemiology heart failure mortality |
| url | https://www.mdpi.com/2077-0383/10/20/4672 |
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