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Trends in out-of-hospital ischaemic heart disease deaths 1992 to 2003 in southern Sweden.

Gerward, Sofia LU ; Persson, K; Midlöv, Patrik LU ; Ekesbo, Rickard LU ; Gullberg, Bo LU and Hedblad, Bo LU (2012) In Scandinavian Journal of Public Health 40(4). p.340-347
Abstract
AIMS:

In western countries out-of-hospital ischaemic heart disease (IHD) deaths account for approximately 50-70% of all IHD deaths. The objective was to examine the trends in out-of-hospital IHD deaths in the Region of Skåne in southern Sweden, in different sex- and age-groups.



METHODS:

All 14,347 persons (range 24-110 years) in Skåne who died out-of-hospital between 1992 and 2003 from IHD (I410-I414; I20-I25) as the underlying cause of death. Subjects with previous admission for IHD since 1970 were excluded. Data were retrieved from the Swedish National Cause of Death and Patient Register. Age-standardized IHD mortality rates and trends were calculated using Poisson regression analysis.

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AIMS:

In western countries out-of-hospital ischaemic heart disease (IHD) deaths account for approximately 50-70% of all IHD deaths. The objective was to examine the trends in out-of-hospital IHD deaths in the Region of Skåne in southern Sweden, in different sex- and age-groups.



METHODS:

All 14,347 persons (range 24-110 years) in Skåne who died out-of-hospital between 1992 and 2003 from IHD (I410-I414; I20-I25) as the underlying cause of death. Subjects with previous admission for IHD since 1970 were excluded. Data were retrieved from the Swedish National Cause of Death and Patient Register. Age-standardized IHD mortality rates and trends were calculated using Poisson regression analysis.



RESULTS:

Age-standardized annual out-of-hospital IHD mortality rates from 1992-2003 decreased in men from 177±13 to 103±9/100,000 inhabitants (-4.7%; p<0.001) and in women from 142±11 to 96±9/100,000 (-2.7%; p<0.001). In men, the annual change in age-standardized IHD mortality rates were -5.3 % (p<0.001), -4.0 % (p<0.001) and -4.7 % (p<0.001), respectively, in the age groups 20-64 years, 65-74 years and ≥75 years. Corresponding figures in women were -4.4 % (p<0.001), -2.4 % (p=0.003) and -2.5 % (p<0.001). The proportion of IHD deaths occurring out-of-hospital was in these age groups 50%, 40% and 35% respectively.



CONCLUSIONS:

In Skåne, out-of-hospital mortality in IHD deaths decreased significantly between 1992 and 2003. The decrease is more pronounced in men than women, and at the end of the study period in 2003, rates were almost equal. The proportion of IHD deaths occurring outside hospital was higher in younger people than in older people. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Public Health
volume
40
issue
4
pages
340 - 347
publisher
Taylor & Francis
external identifiers
  • wos:000306283200005
  • pmid:22786918
  • scopus:84863839567
ISSN
1651-1905
DOI
10.1177/1403494812449078
language
English
LU publication?
yes
id
e487a25c-3477-4e97-9618-cb97b855c361 (old id 2967245)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22786918?dopt=Abstract
date added to LUP
2012-08-09 19:15:02
date last changed
2017-02-26 04:25:22
@article{e487a25c-3477-4e97-9618-cb97b855c361,
  abstract     = {AIMS:<br/><br>
In western countries out-of-hospital ischaemic heart disease (IHD) deaths account for approximately 50-70% of all IHD deaths. The objective was to examine the trends in out-of-hospital IHD deaths in the Region of Skåne in southern Sweden, in different sex- and age-groups.<br/><br>
<br/><br>
METHODS:<br/><br>
All 14,347 persons (range 24-110 years) in Skåne who died out-of-hospital between 1992 and 2003 from IHD (I410-I414; I20-I25) as the underlying cause of death. Subjects with previous admission for IHD since 1970 were excluded. Data were retrieved from the Swedish National Cause of Death and Patient Register. Age-standardized IHD mortality rates and trends were calculated using Poisson regression analysis.<br/><br>
<br/><br>
RESULTS:<br/><br>
Age-standardized annual out-of-hospital IHD mortality rates from 1992-2003 decreased in men from 177±13 to 103±9/100,000 inhabitants (-4.7%; p&lt;0.001) and in women from 142±11 to 96±9/100,000 (-2.7%; p&lt;0.001). In men, the annual change in age-standardized IHD mortality rates were -5.3 % (p&lt;0.001), -4.0 % (p&lt;0.001) and -4.7 % (p&lt;0.001), respectively, in the age groups 20-64 years, 65-74 years and ≥75 years. Corresponding figures in women were -4.4 % (p&lt;0.001), -2.4 % (p=0.003) and -2.5 % (p&lt;0.001). The proportion of IHD deaths occurring out-of-hospital was in these age groups 50%, 40% and 35% respectively.<br/><br>
<br/><br>
CONCLUSIONS:<br/><br>
In Skåne, out-of-hospital mortality in IHD deaths decreased significantly between 1992 and 2003. The decrease is more pronounced in men than women, and at the end of the study period in 2003, rates were almost equal. The proportion of IHD deaths occurring outside hospital was higher in younger people than in older people.},
  author       = {Gerward, Sofia and Persson, K and Midlöv, Patrik and Ekesbo, Rickard and Gullberg, Bo and Hedblad, Bo},
  issn         = {1651-1905},
  language     = {eng},
  number       = {4},
  pages        = {340--347},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Public Health},
  title        = {Trends in out-of-hospital ischaemic heart disease deaths 1992 to 2003 in southern Sweden.},
  url          = {http://dx.doi.org/10.1177/1403494812449078},
  volume       = {40},
  year         = {2012},
}