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Sökning: onr:"swepub:oai:DiVA.org:uu-404712" > Statistics on morta...

Statistics on mortality following acute myocardial infarction in 842 897 Europeans

Alabas, Oras A., (författare)
Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Leeds, W Yorkshire, England
Jernberg, Tomas, (författare)
Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, Stockholm, Sweden
Pujades-Rodriguez, Mar, (författare)
Univ Leeds, Leeds Inst Hlth Sci, Leeds, W Yorkshire, England
visa fler...
Rutherford, Mark J., (författare)
Univ Leicester, Dept Hlth Sci, Leicester, Leics, England
West, Robert M., (författare)
Univ Leeds, Leeds Inst Hlth Sci, Leeds, W Yorkshire, England
Hall, Marlous, (författare)
Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, Sweden
Timmis, Adam, (författare)
Barts Heart Ctr, Dept Cardiol, London, England
Lindahl, Bertil, 1957- (författare)
Uppsala universitet, Kardiologi, Uppsala universitet, Uppsala kliniska forskningscentrum (UCR)
Fox, Keith A. A., (författare)
Univ Edinburgh, Ctr Cardiovasc Sci, Edinburgh, Midlothian, Scotland
Hemingway, Harry, (författare)
UCL, Hlth Data Res UK London, London, England;UCL, Inst Hlth Informat, London, England;UCL, Natl Inst Hlth Res, Univ Coll London Hosp, Biomed Res Ctr, London, England
Gale, Chris P., (författare)
Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, Sweden;Univ Leeds, Leeds Inst Data Analyt, Leeds, W Yorkshire, England
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2020
Engelska.
Ingår i: Cardiovascular Research. - OXFORD UNIV PRESS. - 0008-6363 .- 1755-3245. ; 116:1, s. 149-157
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • <p>Aims: To compare ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) mortality between Sweden and the UK, adjusting for background population rates of expected death, case mix, and treatments.</p><p>Methods and results: National data were collected from hospitals in Sweden [n = 73 hospitals, 180 368 patients, Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART)] and the UK [n = 247, 662 529 patients, Myocardial Ischaemia National Audit Project (MINAP)] between 2003 and 2013. There were lower rates of revascularization [STEMI (43.8% vs. 74.9%); NSTEMI (27.5% vs. 43.6%)] and pharmacotherapies at time of hospital discharge including [aspirin (82.9% vs. 90.2%) and (79.9% vs. 88.0%), beta-blockers (73.4% vs. 86.4%) and (65.3% vs. 85.1%)] in the UK compared with Sweden, respectively. Standardized net probability of death (NPD) between admission and 1 month was higher in the UK for STEMI [8.0 (95% confidence interval 7.4-8.5) vs. 6.7 (6.5-6.9)] and NSTEMI [6.8 (6.4-7.2) vs. 4.9 (4.7-5.0)]. Between 6 months and 1 year and more than 1 year, NPD remained higher in the UK for NSTEMI [2.9 (2.5-3.3) vs. 2.3 (2.2-2.5)] and [21.4 (20.0-22.8) vs. 18.3 (17.6-19.0)], but was similar for STEMI [0.7 (0.4-1.0) vs. 0.9 (0.7-1.0)] and [8.4 (6.7-10.1) vs. 8.3 (7.5-9.1)].</p><p>Conclusion: Short-term mortality following STEMI and NSTEMI was higher in the UK compared with Sweden. Mid- and longer-term mortality remained higher in the UK for NSTEMI but was similar for STEMI. Differences in mortality may be due to differential use of guideline-indicated treatments.</p>

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Mortality
Acute myocardial infarction
SWEDEHEART
MINAP
Sweden
UK

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