{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T03:08:09Z","timestamp":1769656089530,"version":"3.49.0"},"reference-count":55,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Initiative \u00c9conomie de la Sant\u00e9 of Sorbonne Universit\u00e9","award":["Grant Number Not Applicable"],"award-info":[{"award-number":["Grant Number Not Applicable"]}]},{"name":"Minist\u00e8re de la Solidarit\u00e9 et de la Sant\u00e9 (Programme de Recherche sur la Performance du Syst\u00e8me des Soins","award":["PREPS 20-0163"],"award-info":[{"award-number":["PREPS 20-0163"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,1,5]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Healthcare systems were reorganised in 2020 to manage the COVID-19 pandemic. Despite their urgent status, hospital admissions for acute heart failure (AHF) were reported to decline from 9% to 66%\u2009worldwide between 2020 and 2021, with divergent findings regarding in-hospital mortality. This study aimed to investigate in detail the evolution of AHF hospitalisations and in-hospital mortality in France from 2013 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the 2.9\u2009million AHF hospitalisations recorded in France from 2013 to 2024, yearly numbers of hospitalisations and deaths expected in years 2020\u20132024 were estimated using a Poisson regression model, with 2013\u20132019 as the reference period. The differences between observed and expected event counts in the years 2020\u20132024 were used to quantify the disruptions that occurred since the emergence of the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total deficit of \u2212222 913 (\u2212223 908 to \u2212221 926) (mean (95% CI)) AHF hospitalisations was estimated for the years 2020\u20132024, corresponding to a 16.1% decrease compared with pre-pandemic trends. The yearly reduction in AHF hospitalisations worsened over time, from \u221239 268 (\u201339 685 to \u201338\u2009847) fewer cases in 2020 to \u201355 521 (\u201355 984 to \u221255 051) in 2024. Between 2020 and 2024, 7794 (7557 to 8028) excess in-hospital deaths were estimated, corresponding to an 8.4% excess compared with pre-pandemic trends. From 2021 to 2024, this excess ranged from 9.6% to 16% for females compared with 7.1% to 11.1% for males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The apparent long-lasting changes in the management of patients with AHF in France observed since the COVID-19 pandemic emergence, particularly among females, suggest further research for better understanding the sustained observed disruptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2025-003566","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T15:10:11Z","timestamp":1769613011000},"page":"e003566","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hospitalisation for acute heart failure and in-hospital mortality before, during and after the COVID-19 pandemic in France: a nationwide cohort study from 2013 to 2024"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3334-6035","authenticated-orcid":false,"given":"Paul","family":"Moulaire","sequence":"first","affiliation":[{"name":"INSERM, Institut Pierre Louis d\u2019\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Sorbonne Universite, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tristan","family":"Delory","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Annecy Genevois, \u00c9pagny Metz-Tessy, Auvergne-Rh\u00f4ne-Alpes, France"},{"name":"Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis d\u2019\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Paris, France"},{"name":"French Institute for Demographic Studies (INED), Mortality, Health and Epidemiology Unit, Aubervilliers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Oghina","sequence":"additional","affiliation":[{"name":"Referral Center for Cardiac Amyloidosis, Mondor Amyloidosis Network, GRC Amyloid Research Institute and Cardiology Department, APHP Henri Mondor Hospital, Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thibaud","family":"Damy","sequence":"additional","affiliation":[{"name":"Paris-Est Cr\u00e9teil University, INSERM Unit U955, Institut Mondor de Recherche Biom\u00e9dicale, Clinical Epidemiology and Ageing (CEpiA), Referral Center for Cardiac Amyloidosis, Mondor Amyloidosis Network, GRC Amyloid Research Institute and Cardiology Department, APHP Henri Mondor Hospital, Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maude","family":"Espagnacq","sequence":"additional","affiliation":[{"name":"Institute for Research and Information in Health Economics (IRDES), Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myriam","family":"Khlat","sequence":"additional","affiliation":[{"name":"French Institute for Demographic Studies (INED), Mortality, Health and Epidemiology Unit, Aubervilliers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Le Coeur","sequence":"additional","affiliation":[{"name":"French Institute for Demographic Studies (INED), Mortality, Health and Epidemiology Unit, Aubervilliers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0127-1964","authenticated-orcid":false,"given":"Gilles","family":"Hejblum","sequence":"additional","affiliation":[{"name":"Institut Pierre Louis d\u2019\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Sorbonne Universit\u00e9, Inserm, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4837-1068","authenticated-orcid":false,"given":"Nathana\u00ebl","family":"Lapidus","sequence":"additional","affiliation":[{"name":"INSERM UMR S 1166, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"2026012807100772000_4.1.e003566.1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1038\/d41586-022-00584-8","article-title":"Wuhan market was epicentre of pandemic\u2019s start, studies suggest","volume":"603","author":"Maxmen","year":"2022","journal-title":"Nature New Biol"},{"key":"2026012807100772000_4.1.e003566.2","unstructured":"World Health Organization . 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