Regional Variability in Population Acute Myocardial Infarction Cumulative Incidence and Mortality Rates in Spain 1997 and 1998

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• 作者：Jaume Marrugat ; Roberto Elosua ; Elena Aldasoro ; Mar¨ªa Jos¨¦ Tormo ; Hermelinda Vanaclocha ; Antonio Segura ; Miquel Fiol ; Concepci¨®n Moreno-Iribas ; Gloria P¨¦rez and Jos¨¦ Mar¨ªa Arteagoitia ; et al.
• 关键词：Coronary disease ; Cumulative incidence rate ; Mortality rate ; Myocardial infarction ; Registry
• 刊名：European Journal of Epidemiology
• 出版年：2004
• 出版时间：2004
• 年：2004
• 卷：19
• 期：9
• 页码：831-839
• 全文大小：124 KB

文摘

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.