Trends in premature mortality due to ischemic heart disease in Spain from 1998 to 2018

被引:0
作者
Isabel Hervella, M. [1 ,2 ]
Carratala-Munuera, Concepcion [1 ]
Orozco-Beltran, Domingo [1 ]
Lopez-Pineda, Adriana [1 ]
Bertomeu-Gonzalez, Vicente [1 ,3 ,4 ]
Gil-Guillen, Vicente F. [1 ]
Pascual, Reyes [1 ]
Quesada, Jose A. [1 ]
机构
[1] Univ Miguel Hernandez, Dept Med Clin, Ctra Nacl 332 Alicante Valencia S-N, Alicante 03550, Spain
[2] Ctr Atenc Primaria Mutxamel, Conselleria Sanitat Universal & Salut Publ, Alicante, Spain
[3] Hosp Univ San Juan Alicante, Secc Cardiol, Alicante, Spain
[4] Ctr Invest Biomed Red Enfermedades Cardiovasc, Alicante, Spain
来源
REVISTA ESPANOLA DE CARDIOLOGIA | 2021年 / 74卷 / 10期
关键词
Ischemic heart disease; Avoidable mortality; Mortality; Epidemiology; Population; Primary care; UPDATE;
D O I
10.1016/j.recesp.2020.09.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and objectives: Ischemic heart disease (IHD) is the leading cause of death and one of the leading causes of disability. The aim of this study was to analyze trends in premature mortality due to IHD in patients younger than 75 years in Spain from 1998 to 2018 by region. Methods: Observational study of temporal trends in premature mortality due to IHD in Spain by region and sex from 1998 to 2018. The study population included resident citizens aged between 0 and 74 years. The data sources were the continuous population register and the mortality registry of the National Institute of Statistics. We calculated age-adjusted mortality rates and their average annual percent change estimated by Poisson models. Results: During the study period, mortality rates due to IHD decreased, both in the country as a whole and by provinces (53% in men and 61% in women), with an average annual percent change of -3.92% and -5.07%, respectively. In the first year (1998), mortality was unequally distributed among provinces, with higher mortality in the south of Spain. Conclusions: Premature mortality due to IHD significantly decreased in Spain during the study period in both sexes to roughly half of initial cases. This decrease was statistically significant in almost all regions. Interprovincial differences in mortality and their variation also decreased in recent years. (C) 2020 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:838 / 845
页数:8
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