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Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017

Introduction: The current study aimed to assess recent acute myocardial infarction (AMI) mortality rates and trends in Romania between 1994 and 2017. This dataset is a necessity in the context of the current improvement of emergency protocols, medical addressability, and modernization of hospital in...

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Autores principales: Ioacara, Sorin, Popescu, Andreea C., Tenenbaum, Joseph, Dimulescu, Doina R., Popescu, Mihaela R., Sirbu, Anca, Fica, Simona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981549/
https://www.ncbi.nlm.nih.gov/pubmed/31906114
http://dx.doi.org/10.3390/ijerph17010285
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author Ioacara, Sorin
Popescu, Andreea C.
Tenenbaum, Joseph
Dimulescu, Doina R.
Popescu, Mihaela R.
Sirbu, Anca
Fica, Simona
author_facet Ioacara, Sorin
Popescu, Andreea C.
Tenenbaum, Joseph
Dimulescu, Doina R.
Popescu, Mihaela R.
Sirbu, Anca
Fica, Simona
author_sort Ioacara, Sorin
collection PubMed
description Introduction: The current study aimed to assess recent acute myocardial infarction (AMI) mortality rates and trends in Romania between 1994 and 2017. This dataset is a necessity in the context of the current improvement of emergency protocols, medical addressability, and modernization of hospital infrastructure. Materials and Methods: The study is a retrospective analysis of an anonymized mortality database containing all deaths registered in Romania during 1994–2017. AMI crude mortality rates (CMR) and age-standardized mortality rates (ASMR) were calculated using the European Standard Population. Poisson regression was used for calculating the annual percentage change (APC) in mortality, subsequently used to make mortality predictions through the year 2030. Results: There were 197,152 AMI deaths in women (39.3% of total AMI), and 304,644 (60.7%) in men. Mortality rates were higher in men as compared with women for the entire time covered by the study. Based on the 1994–2017 ASMR dynamics, predictions for the year 2030 showed an overall AMI ASMR of 70.9 (95% CI 69.9–71.9), with gender analysis showing 46.8 (95% CI 45.8–47.9) in women and 104.1 (95% CI 102.3–105.8) in men. Conclusion: Acute myocardial infarction age-standardized mortality rates decreased significantly in Romania between 1994 and 2017 in close correlation to the implementation of national healthcare programs.
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spelling pubmed-69815492020-02-03 Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017 Ioacara, Sorin Popescu, Andreea C. Tenenbaum, Joseph Dimulescu, Doina R. Popescu, Mihaela R. Sirbu, Anca Fica, Simona Int J Environ Res Public Health Article Introduction: The current study aimed to assess recent acute myocardial infarction (AMI) mortality rates and trends in Romania between 1994 and 2017. This dataset is a necessity in the context of the current improvement of emergency protocols, medical addressability, and modernization of hospital infrastructure. Materials and Methods: The study is a retrospective analysis of an anonymized mortality database containing all deaths registered in Romania during 1994–2017. AMI crude mortality rates (CMR) and age-standardized mortality rates (ASMR) were calculated using the European Standard Population. Poisson regression was used for calculating the annual percentage change (APC) in mortality, subsequently used to make mortality predictions through the year 2030. Results: There were 197,152 AMI deaths in women (39.3% of total AMI), and 304,644 (60.7%) in men. Mortality rates were higher in men as compared with women for the entire time covered by the study. Based on the 1994–2017 ASMR dynamics, predictions for the year 2030 showed an overall AMI ASMR of 70.9 (95% CI 69.9–71.9), with gender analysis showing 46.8 (95% CI 45.8–47.9) in women and 104.1 (95% CI 102.3–105.8) in men. Conclusion: Acute myocardial infarction age-standardized mortality rates decreased significantly in Romania between 1994 and 2017 in close correlation to the implementation of national healthcare programs. MDPI 2019-12-31 2020-01 /pmc/articles/PMC6981549/ /pubmed/31906114 http://dx.doi.org/10.3390/ijerph17010285 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ioacara, Sorin
Popescu, Andreea C.
Tenenbaum, Joseph
Dimulescu, Doina R.
Popescu, Mihaela R.
Sirbu, Anca
Fica, Simona
Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title_full Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title_fullStr Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title_full_unstemmed Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title_short Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017
title_sort acute myocardial infarction mortality rates and trends in romania between 1994 and 2017
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981549/
https://www.ncbi.nlm.nih.gov/pubmed/31906114
http://dx.doi.org/10.3390/ijerph17010285
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