HYPERTENSIVE DISORDERS OF PREGNANCY IN HUNGARY: TRENDS IN INPATIENT UTILISATION FROM A NATIONWIDE ADMINISTRATIVE DATABASE (2010-2025)
Author(s)
Tímea Csákvári, PhD1, Zsuzsanna Kívés, MSc, PhD2, Krisztina Palkovics, Msc3, Réka Vajda, PhD2, Laura Horváth, BSc3, Imre Boncz, MSc, PhD, MD2, Diána Elmer, BSc, MSc, PhD4.
1lecturer, University of Pécs, Pécs, Hungary, 2Institute of Health Insurance, University of Pécs Faculty of Health Sciences, Pécs, Hungary, 3Institute of Health Insurance, University of Pécs Faculty of Health Sciences, Zalaegerszeg, Hungary, 4Institute of Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary.
1lecturer, University of Pécs, Pécs, Hungary, 2Institute of Health Insurance, University of Pécs Faculty of Health Sciences, Pécs, Hungary, 3Institute of Health Insurance, University of Pécs Faculty of Health Sciences, Zalaegerszeg, Hungary, 4Institute of Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary.
OBJECTIVES: Hypertensive disorders of pregnancy (pre-existing hypertension, gestational hypertension, pre-eclampsia, eclampsia, and related conditions), represent a significant source of maternal morbidity and inpatient healthcare burden. This study aimed to describe trends in HDP-related inpatient utilization in Hungary over a 15-year period (2010-2025), quantify associated healthcare resource use, and identify age-specific patterns.
METHODS: This retrospective descriptive study used nationwide administrative inpatient data from the Pulvita Health Data Warehouse. All hospital admissions carrying ICD-10 codes O10.00-O16.H0 were extracted. Annual figures were obtained for each ICD code, including number of cases and length of stay. Diagnoses were stratified by age group (<18, 19-30, 31-40, 41-50 years). Population denominators from the Hungarian Central Statistical Office were incorporated to estimate age-standardised prevalence rates. Descriptive trend analyses were performed across the study period.
RESULTS: Over 2010-2025, 233,013 admissions were recorded. Both crude admission counts (β = −395.81 cases per year) and age-standardised rates (β = −10.93 per 100,000 women of equivalent age) declined. In every study year, "Gestational oedema and proteinuria without hypertension" accounted for the largest share of admissions, ranging from 27.10% (2025) to 44.99% (2011) of annual case counts. In 2010, the 19-30 age group contributed the highest admission volume (7,749 cases; 50.26% of annual total), whereas by 2025 the 31-40 age group predominated (5,290 cases; 45.68% of annual total). Mean inpatient length of stay decreased by 1.1 days, from 7.24 in 2010 to 6.14 in 2025.
CONCLUSIONS: The sustained decline in HDP-related inpatient admissions and length of stay in Hungary over 2010-2025 suggests meaningful improvements in outpatient management and clinical pathways, with direct implications for DRG-based hospital reimbursement and resource allocation planning.
METHODS: This retrospective descriptive study used nationwide administrative inpatient data from the Pulvita Health Data Warehouse. All hospital admissions carrying ICD-10 codes O10.00-O16.H0 were extracted. Annual figures were obtained for each ICD code, including number of cases and length of stay. Diagnoses were stratified by age group (<18, 19-30, 31-40, 41-50 years). Population denominators from the Hungarian Central Statistical Office were incorporated to estimate age-standardised prevalence rates. Descriptive trend analyses were performed across the study period.
RESULTS: Over 2010-2025, 233,013 admissions were recorded. Both crude admission counts (β = −395.81 cases per year) and age-standardised rates (β = −10.93 per 100,000 women of equivalent age) declined. In every study year, "Gestational oedema and proteinuria without hypertension" accounted for the largest share of admissions, ranging from 27.10% (2025) to 44.99% (2011) of annual case counts. In 2010, the 19-30 age group contributed the highest admission volume (7,749 cases; 50.26% of annual total), whereas by 2025 the 31-40 age group predominated (5,290 cases; 45.68% of annual total). Mean inpatient length of stay decreased by 1.1 days, from 7.24 in 2010 to 6.14 in 2025.
CONCLUSIONS: The sustained decline in HDP-related inpatient admissions and length of stay in Hungary over 2010-2025 suggests meaningful improvements in outpatient management and clinical pathways, with direct implications for DRG-based hospital reimbursement and resource allocation planning.
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
EPH192
Topic
Epidemiology & Public Health
Topic Subcategory
Disease Classification & Coding, Public Health
Disease
No Additional Disease & Conditions/Specialized Treatment Areas, Reproductive & Sexual Health