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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Geographical clustering of incident acute myocardial infarction in Denmark: A spatial analysis approach

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

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  1. Incidence of Ischemic Stroke in Individuals With and Without Aortic Valve Stenosis: A Danish Retrospective Cohort Study

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  2. Cardiovascular complications in patients with total cavopulmonary connection: A nationwide cohort study

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  3. Favorable five-year outcomes for heart failure diagnosed in younger patients without severe comorbidity

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  4. Quality of life and the associated risk of all-cause mortality in nonischemic heart failure

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Does type 2 diabetes confer higher relative rates of cardiovascular events in women compared with men?

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  • Thora Majlund Kjærulff
  • Annette Kjær Ersbøll
  • Gunnar Gislason
  • Jasper Schipperijn
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OBJECTIVES: To examine the geographical patterns in AMI and characterize individual and neighborhood sociodemographic factors for persons living inside versus outside AMI clusters.

METHODS: The study population comprised 3,515,670 adults out of whom 74,126 persons experienced an incident AMI (2005-2011). Kernel density estimation and global and local clustering methods were used to examine the geographical patterns in AMI. Median differences and frequency distributions of sociodemographic factors were calculated for persons living inside versus outside AMI clusters.

RESULTS: Global clustering of AMI occurred in Denmark. Throughout the country, 112 significant clusters with high risk of incident AMI were identified. The relative risk of AMI in significant clusters ranged from 1.45 to 47.43 (median=4.84). Individual and neighborhood socioeconomic position was markedly lower for persons living inside versus outside AMI clusters.

CONCLUSIONS: AMI is geographically unequally distributed throughout Denmark and determinants of these geographical patterns might include individual- and neighborhood-level sociodemographic factors.

Original languageEnglish
JournalSpatial and Spatio-temporal Epidemiology
Volume19
Pages (from-to)46-59
Number of pages14
ISSN1877-5845
DOIs
Publication statusPublished - Nov 2016

ID: 49209531