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Epidemiological trends in mortality, event rates and case fatality of acute myocardial infarction from 2004 to 2015: Results from the KORA MI registry
- Source :
- Ann. Med. 53, 2142-2152 (2021), Annals of Medicine, article-version (VoR) Version of Record
- Publication Year :
- 2021
- Publisher :
- Taylor & Francis Ltd, 2021.
-
Abstract
- Aim: This study examines epidemiological trends of acute myocardial infarction (AMI) in Germany from 2004–2015 across different age groups, using data of the population-based KORA myocardial infarction registry. Methods: Annual age-standardised, age-group- and sex-specific mortality and event rates (incident and recurrent) per 100,000 population as well as 28-day case fatality were calculated from all registered cases of AMI and coronary heart disease deaths in 25–74-year-olds from 2004–2015 and 75–84-year-olds from 2009–2015. Average annual percentage changes (AAPC) were calculated by joinpoint regression. Results: Mortality rates declined considerably among the elderly (75–84 years), in men by –6.0% annually, due to declines of case fatality by –3.0% and incidence rate by 3.4% and in women by –10.0%, driven by declines in incidence (–9.1%) and recurrence rate (–4.9%). Significant mortality declines also occurred in males, 65–74 years of age (AAPC –3.8%). Among the age groups 25–54 years and 55–64 years, there was no substantial decline in mortality, event rates or case fatality except for a decline of incidence rate in 55–64-year-old men (AAPC –1.8%). Conclusion: Inhomogeneous AMI trends across age-groups indicate progress in prevention and treatment for the population >64 years, while among
- Subjects :
- Adult
Male
medicine.medical_specialty
recurrence
Population
Myocardial Infarction
Coronary Disease
Age groups
Germany
Case fatality rate
Epidemiology
medicine
Humans
Registries
cardiovascular diseases
Myocardial infarction
ddc:610
case fatality
education
Aged
Event (probability theory)
Aged, 80 and over
time trends
education.field_of_study
Time trends
business.industry
Incidence
Incidence (epidemiology)
General Medicine
Middle Aged
medicine.disease
mortality
Case Fatality
Mortality
Recurrence
Time Trends
Population Surveillance
Emergency medicine
cardiovascular system
Female
epidemiology
Morbidity
Cardiology & Cardiovascular Disorders
business
Research Article
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Ann. Med. 53, 2142-2152 (2021), Annals of Medicine, article-version (VoR) Version of Record
- Accession number :
- edsair.doi.dedup.....54eee4bf02bfa69ae0e978446e6734d5