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Myocardial infarction: how accurate are official statistics?

Abstract

Aim. To assess the dynamics of total myocardial infarction (MI) incidence by the data on medical assistance appealability (1992-2006), MI hospitalisations, in-hospital lethality and mean hospitalisation duration (2002-2006) in the Russian Federation (RF) as a whole and in Krasnodar Region.

Material and methods. The official medical statistics forms were used for the analysis: Form 12 and Form 14, calculating absolute increase, increase rates, absolute value of 1 % increase and other parameters.

Results. According to From 12 data, total MI incidence increased in 1992-2006, slightly decreasing during the last three years. Hospitalised MI incidence (Form 14) did not change. Both in the RF and in Krasnodar Region, hospitalised MI incidence was 1,5-1,6 times higher than that based on medical assistance appealability data, which points to inadequate MI incidence coverage. In-hospital lethality in 2002-2006 remained stable both in the RF and Krasnodar Region: 15,40 % and 15,30 % in 2002; 15,47 % and 15,10 % in 2006, respectively. Mean hospitalisation duration decreased by 20 % in Krasnodar Region and by 10 % in the RF.

Conclusion: Existing principles of MI statistical coverage in the RF are inadequate and not reflecting healthcare effects on MI morbidity and mortality. These principles should be changed, with an introduction of standard methods for disease prevalence and treatment effectiveness assessment.

About the Authors

L. A. Bokeriya
A.N. Bakulev Research Center for Cardiovascular Surgery. Moscow
Russian Federation


I. N. Stupakov
A.N. Bakulev Research Center for Cardiovascular Surgery. Moscow
Russian Federation


I. V. Samorodskaya
A.N. Bakulev Research Center for Cardiovascular Surgery. Moscow
Russian Federation


E. V. Bolotova
Krasnodar State Medical University
Russian Federation


T. S. Ocheret
Healthcare Department, Krasnodar Region. Krasnodar
Russian Federation


References

1. Abrahamsson P, Dellborg M, Rosengren A, Wilhelmsen L. Improved long term prognosis after myocardial infarction 1984-1991. Eur Heart J 1998; 19: 1512-7.

2. Goldberg RJ, Currie K, White Ki, Six-Month Outcomes in a Multinational Registry of Patients Hospitalized With an Acute Coronary Syndrome (The Global Registry of Acute Coronary Events [GRACE]). Am J Cardiol 2004; 93: 288-93.

3. Heart Disease and Stroke Statistics -2006 Update A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2006; 113: e85-151.

4. Heidenreich PA, McClellan M. Trends in treatment and outcomes for acute myocardial infarction: 1975-1995. Am J Med 2001; 110(3): 165-74.

5. Mahon NG, Codd MB, McKenna CJ, et al. Characteristics and outcomes in patients with acute myocardial infarction with ST-segment depression on initial electrocardiogram. Am Heart J 2000; 139 (2Pt 1): 311-9.

6. Thompson CA, Yarzebski J, Goldberg RJ, et al. Changes over time in the incidence and case-fatality rates of primary ventricular fibrillation complicating acute myocardial infarction: perspectives from the Worcester Heart Attack Study. Am Heart J 2000; 139(6): 1014-21.

7. Бойцов С.А., Явелов И.С., Шальнова С.А. и др. Национальный регистр острого коронарного синдрома в России: современное состояние и перспективы. Кардиоваск тер профил 2007; 4: 115-20.


Review

For citations:


Bokeriya L.A., Stupakov I.N., Samorodskaya I.V., Bolotova E.V., Ocheret T.S. Myocardial infarction: how accurate are official statistics? Cardiovascular Therapy and Prevention. 2008;7(8):75-79. (In Russ.)

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)