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Increase in hospital admission rates for heart failure in the Netherlands, 1980–1993
  1. JOHN MCMURRAY
  1. Consultant Cardiologist,
  2. Consultant in Public Health, Medicine, and
  3. Head of Glasgow, MONICA Project
    1. CAROLINE MORRISON
    1. Consultant Cardiologist,
    2. Consultant in Public Health, Medicine, and
    3. Head of Glasgow, MONICA Project

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      Sir,—We were most interested to read the report by Reitsma et al on heart failure hospitalisations in the Netherlands.1 While these authors found a trend in hospitalisations similar to our report from Scotland they point out that their absolute hospitalisation rates were lower.2There are at least three likely explanations for this.

      First, Reitsma et al excluded a number of ICD codes for heart failure that we included in our report: ICD9 codes 425.4 (primary cardiomyopathy), 425.5 (alcoholic cardiomyopathy), and …

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