Background and Methods To clarify the determinants of contemporary trends in mortality from coronary heart disease (CHD), we conducted surveillance of hospital admissions for myocardial infarction and of in-hospital and out-of-hospital deaths due to CHD among 35-to-74-year-old residents of four communities of varying size in the United States (a total of 352,481 persons in 1994).
Between 1987 and 1994, we estimate that there were 11,869 hospitalizations for myocardial infarction (on the basis of 8572 hospitalizations sampled) and 3407 fatal coronary events (3023 sampled).
Results The largest average annual decrease in mortality due to CHD occurred among white men (change in mortality, - 4.7 percent ; 95 percent confidence interval, - 2.2 to - 7.1 percent), followed by white women (-4.5 percent ; 95 percent confidence interval, - 0.7 to - 8.2 percent), black women (-4.1 percent ; 95 percent confidence interval, - 10.3 to+2.5 percent), and black men (-2.5 percent ; 95 percent confidence interval, - 6.9 to+2.2 percent).
Overall, in-hospital mortality from CHD fell by 5.1 percent per year, whereas out-of-hospital mortality declined by 3.6 percent per year.
There was no evidence of a decline in the incidence of hospitalization for a first myocardial infarction among either men or women ; in fact, such hospital admissions increased by 7.4 percent per year (95 percent confidence interval, 0.5 to 14.8 percent) among black women and 2. (...)
Mots-clés Pascal : Infarctus, Myocarde, Incidence, Cardiopathie coronaire, Mortalité, Epidémiologie, Tendance, Base donnée, Communauté, Etats Unis, Amérique du Nord, Amérique, Homme, Appareil circulatoire pathologie, Myocarde pathologie
Mots-clés Pascal anglais : Infarct, Myocardium, Incidence, Coronary heart disease, Mortality, Epidemiology, Trend, Database, Community, United States, North America, America, Human, Cardiovascular disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0469020
Code Inist : 002B12A05. Création : 19/02/1999.