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The demographic change in Germany: an analysis by the two leading causes of hospitalisation

Session Moderated Poster session 2 - The global problem of heart failure

Speaker Stefan Stoerk

Event : Heart Failure 2017

  • Topic : e-cardiology / digital health, public health, health economics, research methodology
  • Sub-topic : Research Methodology
  • Session type : Moderated Posters

Authors : S Stoerk (Göttingen,DE), M Doerr (Greifswald,DE), M Christ (Nürnberg,DE), HJ Heppner (Schwelm,DE), C Mueller (Basel,CH), U Riemer (Göttingen,DE), R Wachter (Göttingen,DE)

S Stoerk1 , M Doerr2 , M Christ3 , HJ Heppner4 , C Mueller5 , U Riemer1 , R Wachter1 , 1University of Göttingen - Göttingen - Germany , 2University Medicine of Greifswald - Greifswald - Germany , 3Klinikum Nürnberg-Nord, Notfallmedizin - Nürnberg - Germany , 4Helios Klinikum Schwelm - Schwelm - Germany , 5University Hospital Basel - Basel - Switzerland ,

European Journal of Heart Failure ( 2017 ) 19 ( Suppl. S1 ), 176

Background: The demographic change, i. e. an increase in elderly people in the general population with an increase in comorbidities, is also reflected within the two leading causes for hospitalization in Germany, which are "Delivery/Birth" (Z38) and "Heart Failure" (I50). We analyzed data available from the German Federal Statistical Office for both diagnoses from 2000 to 2015.

Methods: We used publically available databases for ICD-10-GM diagnoses in Germany and compared the two most common reasons for hospitalization.

Results: Data were available from 2000 to 2015 for heart failure and from 2004 to 2015 for birth. Hospitalization for birth increased by 1.55 %/year from 444,306 (2004) to 526,437 (2015) [+82,131]. Hospitalization for heart failure increased by 4.96 %/year from 260,803 (2004) to 444,632 (2015) [+183,829] effecting heart failure to become the most common cause for disease-related hospitalization in Germany. Should these trends continue, there will be more hospitalizations for heart failure than for birth from 2020 onwards.


The demographic change in Germany will lead to a greater need for comprehensive heart failure care, while the number of hospitalizations for birth only mildly increased at last. Some geographic areas might consider converting labour rooms into comprehensive heart failure clinics.

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