Trends of in-hospital and out-of-hospital coronary heart disease mortality in French registries during the period 2000 to 2016.

Autor: Gbokou S; University of Strasbourg, Department of Epidemiology and Public Health, Strasbourg, France., Biasch K; University of Strasbourg, Department of Epidemiology and Public Health, Strasbourg, France., Dallongeville J; University of Lille, Inserm, University Hospital of Lille, Institute Pasteur of Lille, U1167 - RID-AGE - Risk factors and molecular determinants of age-related diseases, Lille, France., Kai SHY; University Paul Sabatier, Department of Epidemiology, Health Economics and Public Health, UMR Inserm 1295, Toulouse, France; University Hospital of Toulouse, Department of Public Health, Toulouse, France., Montaye M; University of Lille, Inserm, University Hospital of Lille, Institute Pasteur of Lille, U1167 - RID-AGE - Risk factors and molecular determinants of age-related diseases, Lille, France., Amouyel P; University of Lille, Inserm, University Hospital of Lille, Institute Pasteur of Lille, U1167 - RID-AGE - Risk factors and molecular determinants of age-related diseases, Lille, France., Meirhaeghe A; University of Lille, Inserm, University Hospital of Lille, Institute Pasteur of Lille, U1167 - RID-AGE - Risk factors and molecular determinants of age-related diseases, Lille, France., Ferrières J; University Paul Sabatier, Department of Epidemiology, Health Economics and Public Health, UMR Inserm 1295, Toulouse, France; Toulouse Rangueil University Hospital, Department of Cardiology, Toulouse, France., Moitry M; University of Strasbourg, Department of Epidemiology and Public Health, Strasbourg, France; University Hospital of Strasbourg, Department of Public Health, Strasbourg, France. Electronic address: mmoitry@unistra.fr.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2022 May; Vol. 69, pp. 34-40. Date of Electronic Publication: 2022 Feb 26.
DOI: 10.1016/j.annepidem.2022.02.004
Abstrakt: Purpose: To estimate trends of in- and out-of-hospital Acute Coronary Events (ACE) mortality rates from 2000 to 2016 and their respective contributions to total ACE mortality in France.
Methods: All fatal coronary events occurring between January 2000 and December 2016 were recorded for patients age 35-74 in the French MONICA registries. Trends in age-standardized and crude mortality rates were expressed as annual percentage changes (APC).
Results: Between 2000 and 2016, 20,822 fatal events were recorded, of which 69.4% were out-of-hospital. Almost 90% of out-of-hospital deaths occurred at home. Decreases in ACE mortality were greater inside than outside the hospital (APC: -4.3% vs. -2.9% in men; -5.0% vs. -3.2% in women), resulting in a higher contribution of out-of-hospital mortality to overall ACE mortality, from 65.3% in 2000 to 71.4% in 2016. This trend was more pronounced for elderly than younger patients.
Conclusions: Between 2000 and 2016, ACE mortality declined in France. This trend was more pronounced for in- than for out-of-hospital. These results underline the importance of out-of-hospital mortality in driving ACE mortality rates and the need to further investigate ways to reduce it.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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