Regional variability in population acute myocardial infarction cumulative incidence and mortality rates in Spain 1997 and 1998

被引:59
作者
Marrugat J. [1 ,13 ]
Elosua R. [1 ]
Aldasoro E. [2 ]
Tormo M.J. [3 ]
Vanaclocha H. [4 ]
Segura A. [5 ]
Fiol M. [6 ]
Moreno-Iribas C. [7 ]
Pérez G. [8 ]
Arteagoitia J.M. [2 ]
Cirera L. [3 ]
Cabadés A. [9 ]
Vega G. [10 ]
Ayestarán J.I. [6 ]
García V. [7 ]
Hurtado-De-Saracho I. [2 ]
García J. [3 ]
Zurriaga O. [4 ]
Muñiz J. [11 ]
Sala J. [12 ]
机构
[1] Unitat de Lipids I Epidemiologia Cardiovascular, Institut Municipal d'Investigació Mèdica (IMIM), Barcelona
[2] Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz
[3] Departamento de Epidemiología, Consejería de Sanidad Y Consumo, Murcia
[4] Conselleria de Sanitat, Generalitat Valenciana, Valencia
[5] Instituto de Ciencias de la Salud, Consejería de Sanidad de Castilla-La Mancha, Talavera de la Reina
[6] Unitat Coronaria, Hospital Son Dureta, Palma de Mallorca
[7] Instituto de Salud Pública de Navarra, Pamplona
[8] Servei d'Informació I Estudis, Departament de Sanitat I Seguretat Social, Barcelona
[9] Unidad de Cuidados Intensivos, Hospital la Fe, Valencia
[10] Unidad de Cuidados Intensivos, Complejo Hospitalario de Albacete
[11] Asociación de Estudios Biomédicos de Galicia, Instituto Universitario de Ciencias de la Salud, A Coruña
[12] Unitat Coronària, Hospital Josep Trueta, Gerona
[13] Unitat de Lipids I Epidemiologia Cardiovascular, Institut Municipal d'Investigació Mèdica (IMIM), E-08003-Barcelona
关键词
Coronary disease; Cumulative incidence rate; Mortality rate; Myocardial infarction; Registry;
D O I
10.1023/B:EJEP.0000040531.77638.17
中图分类号
学科分类号
摘要
Background: Myocardial infarction (MI) incidence and mortality display a high geographic variation. Aims: The objective of the present study was to analyze MI mortality, cumulative incidence rate variability in seven regions of Spain from 1997 to 1998. Methods and Results: Standardized methods were used to identify, find, register, and classify MI cases that were classified as definite, possible, insufficient-dataMI, and non-MI. The total population of the seven monitored regions was 7,364,682 inhabitants. Of the 11,256 cases fulfilling eligibility criteria to investigate, 10,660 were selected to calculate MI rates: 6554 (61.5%)non-fatal definite MI, 1179 (11.1%)fatal definite MI, 1859 (17.4%)fatal possible MI, 1068 (10.0%)fatal cases with insufficient data. The IBERICA 25-74 years age-standardized cumulative incidence rates for men and women, were 207 (range: 175-252) and 45 (range: 36-65) per 100,000, respectively. The age-standardized mortality rates for men and women, were 73 (range: 62-94) and 20 (range: 13-29) per 100,000, respectively. Age-standardized case-fatality was 31.4 and 24.2% in men aged 25-74 and 35-64 years, respectively, and 32.7 and 27.0%, respectively, in women. Conclusions: MI cumulative incidence and mortality rates are low compared with other industrialized countries but, vary considerably among regions in a Mediterranean country like Spain. © 2004 Kluwer Academic Publishers.
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页码:831 / 839
页数:8
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