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God vård på lika villkor vid hjärtinfarkt i dagens Sverige : Geografiska skillnader i dödlighet utan betydelse för den enskilda patienten

Merlo, Juan LU ; Håkansson, Anders; Beckman, Anders LU ; Lindblad, Ulf LU ; Lindström, Martin LU ; Gerdtham, Ulf G. LU and Råstam, Lennart LU (2005) In Lakartidningen 102(1-2). p.20-23
Abstract

It is a known fact that the 1990s brought a decrease in mortality after myocardial infarction in Sweden but that differences in mortality rates following myocardial infarction still remain between the Swedish counties. Unresolved, however, are questions as to what these inter-county differences mean for the individual patient and what role hospital care plays in this context. We analysed all patients aged 64-85 years who were hospitalised following diagnosis of myocardial infarction in Sweden during the period 1993-1996. To gain an understanding of the relevance of geographical differences in mortality after myocardial infarction for the individual patient we applied multi-level regression analysis and calculated county and hospital... (More)

It is a known fact that the 1990s brought a decrease in mortality after myocardial infarction in Sweden but that differences in mortality rates following myocardial infarction still remain between the Swedish counties. Unresolved, however, are questions as to what these inter-county differences mean for the individual patient and what role hospital care plays in this context. We analysed all patients aged 64-85 years who were hospitalised following diagnosis of myocardial infarction in Sweden during the period 1993-1996. To gain an understanding of the relevance of geographical differences in mortality after myocardial infarction for the individual patient we applied multi-level regression analysis and calculated county and hospital median odds ratios (MORs) in relation to 28-day mortality. For hospitalised patients with myocardial infarction, being cared for in another hospital with higher mortality would increase the risk of dying by 9% (MOR=1.09) in men and 12% in women. If these patients moved to another county with higher mortality the risk would increase by 7% and 3%, respectively. The small geographical differences in 28-day mortality after myocardial infarction found in Sweden suggest a high degree of equality across the country; however, further improvement could be achieved in hospital care, especially for women - an issue that deserves further analysis.

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author
organization
alternative title
Good care under the same conditions for patients with myocardial infarction in Sweden today. Insignificant geographical differences in mortality for the individual patient
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
102
issue
1-2
pages
4 pages
publisher
Swedish Medical Association
external identifiers
  • scopus:13244258271
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
2f397a8d-2edf-40cf-82b7-27c170ccbc3b
date added to LUP
2018-10-09 11:26:26
date last changed
2019-06-20 02:18:29
@article{2f397a8d-2edf-40cf-82b7-27c170ccbc3b,
  abstract     = {<p>It is a known fact that the 1990s brought a decrease in mortality after myocardial infarction in Sweden but that differences in mortality rates following myocardial infarction still remain between the Swedish counties. Unresolved, however, are questions as to what these inter-county differences mean for the individual patient and what role hospital care plays in this context. We analysed all patients aged 64-85 years who were hospitalised following diagnosis of myocardial infarction in Sweden during the period 1993-1996. To gain an understanding of the relevance of geographical differences in mortality after myocardial infarction for the individual patient we applied multi-level regression analysis and calculated county and hospital median odds ratios (MORs) in relation to 28-day mortality. For hospitalised patients with myocardial infarction, being cared for in another hospital with higher mortality would increase the risk of dying by 9% (MOR=1.09) in men and 12% in women. If these patients moved to another county with higher mortality the risk would increase by 7% and 3%, respectively. The small geographical differences in 28-day mortality after myocardial infarction found in Sweden suggest a high degree of equality across the country; however, further improvement could be achieved in hospital care, especially for women - an issue that deserves further analysis.</p>},
  author       = {Merlo, Juan and Håkansson, Anders and Beckman, Anders and Lindblad, Ulf and Lindström, Martin and Gerdtham, Ulf G. and Råstam, Lennart},
  issn         = {0023-7205},
  language     = {swe},
  month        = {01},
  number       = {1-2},
  pages        = {20--23},
  publisher    = {Swedish Medical Association},
  series       = {Lakartidningen},
  title        = {God vård på lika villkor vid hjärtinfarkt i dagens Sverige : Geografiska skillnader i dödlighet utan betydelse för den enskilda patienten},
  volume       = {102},
  year         = {2005},
}