Trends in cardiovascular care in the National Health System in Spain. Data from the RECALCAR project 2011-2020

Abstract

Introduction and objectives: The RECALCAR project (Resources and Quality in Cardiology), an initiative of the Spanish Society of Cardiology, aims to standardize information to generate evidence on cardiovascular health outcomes. The objective of this study was to analyze trends in the resources and activity of cardiology units and/or services and to identify the results of cardiovascular care during the last decade in Spain.

Methods: The study was based on the 2 annual data sources of the RECALCAR project: a survey on resources and activity of cardiology units and/or services (2011-2020) and the minimum data set of the National Health System (2011-2019), referring to heart failure (HF), STEMI, and non-STEMI.

Results: The survey included 70% of cardiology units and/or services in Spain. The number of hospital beds and length of stay decreased, while there was a notable increase in the number of cardiac imaging studies and percutaneous therapeutic procedures performed. Age- and sex-adjusted admissions for HF tended to decrease, despite an increase in mortality and the percentage of readmissions. In contrast, the trend in mortality and readmissions was highly favorable in STEMI; in non-STEMI, although positive, the trend was less marked.

Conclusions: The information provided by the RECALCAR project shows a favorable trend in the last decade in resources, activity and results of certain cardiovascular processes and constitutes an essential source for future improvements and decision-making in health policy.

Keywords: Calidad cardiovascular; Cardiovascular quality; Conjunto mínimo básico de datos; Heart failure; Infarto de miocardio con elevación del segmento ST; Infarto de miocardio sin elevación del segmento ST; Insuficiencia cardiaca; Minimum data set; Non–ST-segment elevation myocardial infarction; Proyecto RECALCAR; RECALCAR project; ST-segment elevation myocardial infarction.