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March 22, 2005European Journal of Cardiovascular Prevention & Rehabilitation

The validity of the Finnish Hospital Discharge Register and Causes of Death Register data on coronary heart disease

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Population

Patients with fatal and non-fatal coronary heart disease (CHD) events in Finland

Comparison

Finnish National Hospital Discharge Register and… vs FINMONICA/FINAMI population-based myocardial…

Design

Cross-sectional

Authors

PPPia PajunenSocial Insurance InstitutionHKHeli KoukkunenUniversity of Eastern FinlandMKMatti KetonenNorth Karelia Central Hospital

Discussion

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Implication

MI diagnoses in Finnish HDR/CDR show reasonable validity; supports registry-based research but leaves generalizability open.

Structured PICO

P
Population
Patients with fatal and non-fatal coronary heart disease (CHD) events in Finland
I
Intervention
Finnish National Hospital Discharge Register (HDR) and Causes of Death Register (CDR) ICD codes for myocardial infarction and unstable angina
C
Comparator
FINMONICA/FINAMI population-based myocardial infarction register (using the 2003 AHA definition)
O
Outcome
Sensitivity and positive predictive value (PPV) of ICD codes for myocardial infarction

Diagnoses of fatal and non-fatal CHD events in the Finnish Hospital Discharge Register and Causes of Death register are reasonably valid indicators for hard CHD events.

Cite This Study

Pajunen et al. (2005) studied this question.

synapsesocial.com/papers/6a7d691db97b7d2d4f83e8ebhttps://doi.org/10.1097/00149831-200504000-00007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1How to Define Coronary Heart Disease in Register-based Follow-up Studies: Experience from the Helsinki Heart Study1997 · 28 citations
  2. 2Trends in coronary events in Finland during 1983–1997; The FINAMI study2003 · 77 citations
  3. 3Decline of Coronary Heart Disease Mortality in Finland During 1983 to 1992: Roles of Incidence, Recurrence, and Case-Fatality1996 · 97 citations
  4. 4Coronary and cerebrovascular population-based registers in Europe: are morbidity indicators comparable? Results from the EUROCISS Project2003 · 25 citations
  5. 5Myocardial infarction redefined—a consensus document of The Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction2000 · 4,856 citations