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The current and future burden of heart failure in Portugal

2019-04Journal article Open access
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dc.contributor.authorGouveia, Miguel
dc.contributor.authorAscenção, Raquel
dc.contributor.authorFiorentino, Francesca
dc.contributor.authorCosta, João
dc.contributor.authorCaldeira, Daniel
dc.contributor.authorBroeiro-Gonçalves, Paula
dc.contributor.authorFonseca, Candida
dc.contributor.authorBorges, Margarida
dc.date.accessioned2021-04-12T13:40:15Z
dc.date.available2021-04-12T13:40:15Z
dc.date.issued2019-04
dc.description.abstractAims: Heart failure (HF) is a clinical syndrome with significant social and economic burden. We aimed to estimate the burden of HF in mainland Portugal over a 22-year time horizon, between 2014 and 2036. Methods and results: Heart failure burden was measured in disability-adjusted life years (DALYs), resulting from the sum of years of life lost (YLL) due to premature death and years lost due to disability (YLD). YLL were estimated based on the Portuguese mortality rates reported by the European Detailed Mortality Database. For YLD, disease duration and the overall incidence were estimated using an epidemiological model developed by the World Health Organization (DISMOD II). Disability weights were retrieved from published literature. The impact of ageing was estimated with a shift-share analysis using official demographic projections. In 2014, 4688 deaths were attributed to HF, corresponding to 4.7% of the total deaths in mainland Portugal. DALYs totalled 21 162, 53.9% due to premature death (YLL: 11 398) and 46.1% due to disability (YLD: 9765). Considering only population ageing over a 22-year horizon, the deaths and burden of HF are expected to increase by 73.0% and 27.9%, respectively, reaching 8112 deaths and 27 059 DALYs lost due to HF in 2036. DALY's growth is mainly driven by the increase of YLL, whose contribution to overall burden will increase to 62.0%. Conclusions: Heart failure is an emerging and growing health problem where significant health gains may be obtained. The projected significant increase of HF burden highlights the need to set HF as a priority for healthcare system.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1002/ehf2.12399pt_PT
dc.identifier.eid85059703713
dc.identifier.issn2055-5822
dc.identifier.pmcPMC6437427
dc.identifier.pmid30620150
dc.identifier.urihttp://hdl.handle.net/10400.14/32490
dc.identifier.wos000464451900003
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectForecastingpt_PT
dc.subjectGlobal burden of diseasept_PT
dc.subjectHeart failurept_PT
dc.subjectMorbiditypt_PT
dc.subjectMortalitypt_PT
dc.subjectPrematurept_PT
dc.titleThe current and future burden of heart failure in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage261pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage254pt_PT
oaire.citation.titleESC heart failurept_PT
oaire.citation.volume6pt_PT
person.familyNameGouveia
person.familyNameCaldeira
person.familyNameBorges
person.givenNameMiguel
person.givenNameDaniel
person.givenNameMargarida
person.identifier.ciencia-idDE17-C7DF-A591
person.identifier.ciencia-idAA19-EC35-8D01
person.identifier.orcid0000-0003-0081-0508
person.identifier.orcid0000-0002-2520-5673
person.identifier.orcid0000-0002-8563-6846
person.identifier.ridQ-2095-2015
person.identifier.scopus-author-id7003491970
person.identifier.scopus-author-id36623384200
person.identifier.scopus-author-id7102828573
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication73d77140-f940-48ee-9a85-a77405a8a1aa
relation.isAuthorOfPublication324b0b42-e0d9-4eca-ad2c-85d5edce23dc
relation.isAuthorOfPublicatione0ffa07a-0a01-4e3a-8dba-fc7214116d36
relation.isAuthorOfPublication.latestForDiscovery73d77140-f940-48ee-9a85-a77405a8a1aa

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