title: Changes in Hospitalization for Ischemic Heart Disease After the 2008 Sichuan Earthquake: 10 Years of Data in a Population of 300,000.
abstract: OBJECTIVE
  The effects of earthquakes on ischemic heart disease (IHD) have often been reported. At a population level, this study examined short-term (60-day) and long-term (5-year) hospitalization events for IHD after the 2008 Sichuan earthquake.
  
  
  METHODS
  We examined the 10-year medical hospitalization records on IHD in the city of Deyang provided by the Urban Employee Basic Health Insurance program.
  
  
  RESULTS
  Evaluation of 19,083 hospitalizations showed a significantly lower proportional number and cost of hospitalizations in the 60 days after the earthquake (P<0.001). Hospitalizations were 27.81% lower than would have been expected in a normal year; costs were 32.53% lower. However, in the 5 years after the earthquake, the age-adjusted annual incidence of hospitalization increased significantly (P<0.001). In the fifth year after the earthquake, it was significantly higher in the extremely hard-hit area than in the hard-hit area (P<0.01).
  
  
  CONCLUSIONS
  After the 2008 earthquake, short- and long-term patterns of hospitalization for IHD changed greatly, but in different ways. Our findings suggest that medical resources for IHD should be distributed dynamically over time after an earthquake.
authors.affiliation: 1Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China.
authors.forename: Kaisen
authors.initials: K
authors.lastname: Huang
authors.affiliation: 1Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China.
authors.forename: Dejia
authors.initials: D
authors.lastname: Huang
authors.affiliation: 3Department of Emergency,People's Hospital of Deyang City,Chengdu University of TCM,Deyang,China.
authors.forename: Dingxiu
authors.initials: D
authors.lastname: He
authors.affiliation: 2The World Health Organization Collaborating Center for Research on the Epidemiology of Disasters,Institute of Health and Society,University of Louvain,Brussels.
authors.forename: Joris
authors.initials: J
authors.lastname: van Loenhout
authors.affiliation: 1Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China.
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
authors.affiliation: 1Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China.
authors.forename: Baotao
authors.initials: B
authors.lastname: Huang
authors.affiliation: 4Department of Cardiology,People's Hospital of Deyang City,Chengdu University of TCM,Deyang,China.
authors.forename: Xiaojian
authors.initials: X
authors.lastname: Deng
authors.affiliation: 4Department of Cardiology,People's Hospital of Deyang City,Chengdu University of TCM,Deyang,China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Wu
authors.affiliation: 1Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China.
authors.forename: Mao
authors.initials: M
authors.lastname: Chen
authors.affiliation: 2The World Health Organization Collaborating Center for Research on the Epidemiology of Disasters,Institute of Health and Society,University of Louvain,Brussels.
authors.forename: Debarati
authors.initials: D
authors.lastname: Guha-Sapir
mesh_terms: D002681:China / Q000453:epidemiology; D055866:Earthquakes / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000453:epidemiology / Q000209:etiology*; D011634:Public Health / Q000379:methods; D012189:Retrospective Studies
keywords: earthquake; hospitalization; ischemic heart disease; population; public health