Constituent country inequalities in myocardial infarction incidence and case fatality in men and women in the United Kingdom, 1996-2005.

Journal of Public Health
A R DaviesL Smeeth

Abstract

Understanding myocardial infarction (MI) incidence and case fatality trends across the four UK constituent countries is of importance following devolution of the government of health-care services. Retrospective cohort study using a primary care database (5.19 million patients) examining trends in incidence of first MI and 30-day case fatality. From 1996 to 2005, the incidence of MI decreased in all countries, but reductions were greater in England (men, -3.1%; women, -2.8%) and Wales (men, -3.3%; women, -4.6%) than in Scotland (men, -1.9%; women, -0.6%) and Northern Ireland (men no change, women, -0.8%) (average annual percentage change). Greater reductions in England and Wales than Scotland and Northern Ireland meant a widening of north-south difference in MI incidence over the study period. Downward trends in 30-day case fatality were found in each country but less regional variation was evident (England men, -12.0%, women, -11.0%; Wales men, -18.4%, women, -12.6%; Scotland men, -9.5%, women, -9.0%; Northern Ireland men, -8.6%, women, -13.0%). From 1996 to 2005, downward trends in the incidence of first MI and 30-day case fatality were evident in each constituent country. Greater improvements in case fatality, compared with ...Continue Reading

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Jun 16, 2004·Circulation·Luis A García RodríguezAntonio González-Pérez
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Apr 2, 2005·International Journal of Epidemiology·W MooreH Tunstall-Pedoe
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Citations

Sep 2, 2011·Journal of the Royal Society of Medicine·Monica DesaiMartin McKee
Jan 14, 2012·European Journal of Public Health·Kate SmolinaMichael J Goldacre
Nov 1, 2015·European Heart Journal. Quality of Care & Clinical Outcomes·Karam Sadoon AlzuhairiChristian Torp-Pedersen
Feb 25, 2011·Journal of Public Health·Gabriel M Leung, Selena Gray
Mar 31, 2012·Deutsches Ärzteblatt International·Enno Nowossadeck

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