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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

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

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

Original languageEnglish
JournalSpatial and Spatio-temporal Epidemiology
Volume19
Pages (from-to)60-69
Number of pages10
ISSN1877-5845
DOIs
Publication statusPublished - Nov 2016

ID: 49209461