Trends in fatal and non-fatal coronary heart disease events in Finland during 1991-2001
Trends in fatal and non-fatal coronary heart disease events in Finland during 1991-2001
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DOI：
10.1080/14017430410010996
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发表时间：
2004-12-01
影响因子：
2.2
通讯作者：
Salomaa, V
中科院分区：
文献类型：
--
作者：
Pajunen, P;Pääkkönen, R;Salomaa, V
目的：分析1991-2001年芬兰致死性和非致死性冠心病（CHD）事件的趋势。设计：出院登记簿中因冠心病住院的数据与国家死亡原因登记簿相关联，以便生成心血管疾病登记簿，其中包括271771起事件的数据，涉及234244人。结果：男性年龄标准化冠心病死亡率年平均下降5.2% (95% CI, -5.6, -4.8%)，女性下降6.1%（-6.6,-5.6%）。男性首次心肌梗死的发病率从1991年到1997年平均每年下降5.5%(- 5.9%,-5.1%)，从1998年到2001年平均每年下降2.4%（-3.0,-1.7%）。女性的变化分别为-5.9%（-6.5,-5.2%）和-1.7%（-2.7,-0.6%）。1991年至1996年期间，因不稳定型心绞痛住院的人数有所增加（p = 0.0002），并在研究期间的其余时间保持稳定。结论心血管疾病登记册是芬兰心血管疾病流行病学监测的有力工具。
Objective-To analyse the trends in fatal and non-fatal coronary heart disease (CHD) events in Finland during an 11-year period 1991-2001.Design-Data on hospitalizations due to CHD in the Hospital Discharge Register were linked to the National Causes of Death Register in order to produce a Cardiovascular Disease Register including data on 271771 events in 234 244 individuals.Results-The annual average decline in the age-standardized CHD mortality rate was 5.2% (95% CI, -5.6, -4.8%) among men and 6.1% (-6.6, -5.6%) among women. The incidence of first myocardial infarction declined annually on average by 5.5% (-5.9, -5.1%) from 1991 to 1997 and by 2.4% (-3.0, -1.7%) from 1998 to 2001 among men. The respective changes among women were -5.9% (-6.5, -5.2%) and -1.7% (-2.7, -0.6%). The number of hospitalizations due to unstable angina pectoris increased between 1991 and 1996 (p = 0.0002) and remained stable for the rest of the study period.Conclusions-The Cardiovascular Disease Register is a powerful tool for epidemiological monitoring of cardiovascular diseases in Finland.