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

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Abstract

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
ISSN1877-5845
DOIs
Publication statusPublished - 2016

Cite this

@article{19472e2f0bcd455685c068d7ced8dc7c,
title = "Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner",
abstract = "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.",
keywords = "Acute myocardial infarction, Primary healthcare contact, General practice, SPDE, INLA, Gaussian field",
author = "Ersb{\o}ll, {Annette Kj{\ae}r} and Kj{\ae}rulff, {Thora Majlund} and Kristine Bihrmann and Jasper Schipperijn and Gunnar Gislason and Larsen, {Mogens Lytken}",
year = "2016",
doi = "10.1016/j.sste.2016.06.001",
language = "English",
volume = "19",
pages = "60–69",
journal = "Spatial and Spatio-temporal Epidemiology",
issn = "1877-5845",
publisher = "Elsevier",

}

TY - JOUR

T1 - Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner

AU - Ersbøll, Annette Kjær

AU - Kjærulff, Thora Majlund

AU - Bihrmann, Kristine

AU - Schipperijn, Jasper

AU - Gislason, Gunnar

AU - Larsen, Mogens Lytken

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - Acute myocardial infarction

KW - Primary healthcare contact

KW - General practice

KW - SPDE

KW - INLA

KW - Gaussian field

U2 - 10.1016/j.sste.2016.06.001

DO - 10.1016/j.sste.2016.06.001

M3 - Journal article

VL - 19

SP - 60

EP - 69

JO - Spatial and Spatio-temporal Epidemiology

JF - Spatial and Spatio-temporal Epidemiology

SN - 1877-5845

ER -