Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

Annette Kjær Ersbøll; Thora Majlund Kjærulff; Kristine Bihrmann; Jasper Schipperijn; Gunnar Gislason; Mogens Lytken Larsen

doi:10.1016/j.sste.2016.06.001

Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

Annette Kjær Ersbøll, Thora Majlund Kjærulff, Kristine Bihrmann, Jasper Schipperijn, Gunnar Gislason, Mogens Lytken Larsen

Hjertesygdomme

12 Citationer (Scopus)

Abstract

BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.

METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.

RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.

CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.

Originalsprog	Engelsk
Tidsskrift	Spatial and Spatio-temporal Epidemiology
Vol/bind	19
Sider (fra-til)	60-69
Antal sider	10
ISSN	1877-5845
DOI	https://doi.org/10.1016/j.sste.2016.06.001
Status	Udgivet - nov. 2016

Adgang til dokumentet

10.1016/j.sste.2016.06.001

Citationsformater

@article{8565abf53a774db9a976c8c851c7deba,

title = "Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner",

abstract = "BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.",

author = "Ersb{\o}ll, {Annette Kj{\ae}r} and Kj{\ae}rulff, {Thora Majlund} and Kristine Bihrmann and Jasper Schipperijn and Gunnar Gislason and Larsen, {Mogens Lytken}",

note = "Copyright {\textcopyright} 2016. Published by Elsevier Ltd.",

year = "2016",

month = nov,

doi = "10.1016/j.sste.2016.06.001",

language = "English",

volume = "19",

pages = "60--69",

journal = "Spatial and Spatio-temporal Epidemiology",

issn = "1877-5845",

publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

AU - Ersbøll, Annette Kjær

AU - Kjærulff, Thora Majlund

AU - Bihrmann, Kristine

AU - Schipperijn, Jasper

AU - Gislason, Gunnar

AU - Larsen, Mogens Lytken

PY - 2016/11

Y1 - 2016/11

N2 - BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.

AB - BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.

U2 - 10.1016/j.sste.2016.06.001

DO - 10.1016/j.sste.2016.06.001

M3 - Journal article

C2 - 27839581

SN - 1877-5845

VL - 19

SP - 60

EP - 69

JO - Spatial and Spatio-temporal Epidemiology

JF - Spatial and Spatio-temporal Epidemiology

ER -

Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

Abstract

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