Disease-Specific Trends and Ethnic Inequities in In-Hospital Cardiovascular Mortality in Suriname, 2013-2022

In Suriname hospital admissions from 2013–2022, adjusted in-hospital mortality declined for heart failure, ischemic heart disease, and cerebrovascular disease, with the steepest annual drop in HF (aOR 0.858).

• Why it matters: Mortality trends and equity gaps across cardiovascular conditions are unclear in Suriname, limiting targeted surveillance and evaluation of future prevention and health-system efforts.
• What they did: Using retrospective discharge data from three major public hospitals covering about 71.8% of national admissions, multivariable logistic regression modeled in-hospital mortality for HF (I50), IHD (I20–I25), and Stroke (I60–I69) across 84,691 admissions.
• The result: Mortality decreased annually for HF (aOR 0.858; 95% CI 0.841–0.875), IHD (aOR 0.941; 95% CI 0.914–0.969), and Stroke (aOR 0.947; 95% CI 0.931–0.963), while age increased risk in IHD and Stroke and Stroke showed higher mortality among Maroon, Creole, Javanese, and Other than Hindustani patients.

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