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Statistics on morta...
Statistics on mortality following acute myocardial infarction in 842 897 Europeans
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- Alabas, Oras A. (author)
- Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Leeds, W Yorkshire, England
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- Jernberg, Tomas (author)
- Karolinska Institutet
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- Pujades-Rodriguez, Mar (author)
- Univ Leeds, Leeds Inst Hlth Sci, Leeds, W Yorkshire, England
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- Rutherford, Mark J. (author)
- Univ Leicester, Dept Hlth Sci, Leicester, Leics, England
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- West, Robert M. (author)
- Univ Leeds, Leeds Inst Hlth Sci, Leeds, W Yorkshire, England
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- Hall, Marlous (author)
- Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, Sweden
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- Timmis, Adam (author)
- Barts Heart Ctr, Dept Cardiol, London, England
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- Lindahl, Bertil, 1957- (author)
- Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
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- Fox, Keith A. A. (author)
- Univ Edinburgh, Ctr Cardiovasc Sci, Edinburgh, Midlothian, Scotland
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- Hemingway, Harry (author)
- 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
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- Gale, Chris P. (author)
- 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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(creator_code:org_t)
- 2019-07-26
- 2020
- English.
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In: Cardiovascular Research. - : OXFORD UNIV PRESS. - 0008-6363 .- 1755-3245. ; 116:1, s. 149-157
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Abstract
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- 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.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)].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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Mortality
- Acute myocardial infarction
- SWEDEHEART
- MINAP
- Sweden
- UK
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Alabas, Oras A.
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Jernberg, Tomas
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Pujades-Rodrigue ...
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Rutherford, Mark ...
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West, Robert M.
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Hall, Marlous
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Timmis, Adam
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Lindahl, Bertil, ...
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Fox, Keith A. A.
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Hemingway, Harry
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Gale, Chris P.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Cardiovascular R ...
- By the university
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Uppsala University
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Karolinska Institutet