What question did this study set out to answer?

To evaluate secular trends in 28-day, 1-year, and 10-year case fatality over a 23-year period among patients hospitalized with a first acute myocardial infarction.

October 1, 2009European Journal of Cardiovascular Prevention & RehabilitationOpen Access

Short-term and long-term case fatality in 11 878 patients hospitalized with a first acute myocardial infarction, 1979-2001: the Western Norway cardiovascular registry

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Population

11,878 patients hospitalized with a first acute myocardial infarction between 1979 and 2001.

Design

Cohort

Follow-up

up to 10 years

Authors

JLJørund LangørgenHaukeland University Hospital JIJannicke IglandWestern Norway University of Applied Sciences MAMaria AverinaUniversity Hospital of North Norway

Discussion

Member takes

Implication

Long-term post-MI survival gains over 23 years may reflect care advances; extends temporal trends but leaves causal factors open.

Key Points

To evaluate secular trends in 28-day, 1-year, and 10-year case fatality over a 23-year period among patients hospitalized with a first acute myocardial infarction.
Conducted a retrospective cohort study of 11,878 patients (7,635 men and 4,243 women) admitted with a first acute myocardial infarction between 1979 and 2001 to Haukeland University Hospital in Norway.
Linked data from the Western Norway Cardiovascular Registry with the Norwegian Cause of Death Registry to determine short- and long-term mortality.
From 1979–1985 to 1994–2001, crude 28-day case fatality decreased from 31.1% to 19.8% in men and from 37.3% to 26.8% in women (both P-trend < 0.0001).
Crude 10-year case fatality dropped from 69.5% to 55.5% in men and from 80.8% to 66.1% in women (both P-trend < 0.0001), with 1- to 10-year landmark fatality among patients aged <60 years declining from 26.1% to 13.8% in men and from 33.3% to 6.4% in women.
Among patients aged 60 years or older, age-adjusted 28-day, 1-year, and 10-year case-fatality rates were significantly lower in women than in men.

Structured PICO

Population

11,878 patients (7,635 men and 4,243 women) hospitalized with a first acute myocardial infarction between 1979 and 2001.

Outcome

28-day, 1-year, and 10-year case fatalityhard clinical

Long-term survival up to 10 years after a first acute myocardial infarction improved substantially over a 23-year period from 1979 to 2001.

Cite This Study

Langørgen et al. (2009) studied this question.

synapsesocial.com/papers/6a84ae10bb44ae381abcc183 https://doi.org/10.1097/hjr.0b013e32832e096b

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Short-term and long-term case fatality in 11 878 patients hospitalized with a first acute myocardial infarction, 1979-2001: the Western Norway cardiovascular registry

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Short-term and long-term case fatality in 11 878 patients hospitalized with a first acute myocardial infarction, 1979-2001: the Western Norway cardiovascular registry

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider