Outcomes of acute myocardial infarction in Canada.

Outcomes of acute myocardial infarction in Canada. Research Abstract Details 

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Outcomes of acute myocardial infarction in Canada. Abstract Text:

Jack V Tu,Peter C Austin,Woganee A Filate,Helen L Johansen,Susan E Brien,Louise Pilote,David A Alter, ,

BACKGROUND: Little information is available on recent population-based trends in the outcomes of patients who have had an acute myocardial infarction (AMI) in Canada. METHODS: Data were analyzed from the Discharge Abstract Database and Hospital Morbidity Database of the Canadian Institute for Health Information. All new cases of AMI in Canada between fiscal 1997/98 and fiscal 1999/2000 of patients at least 20 years old were examined. Data were also analyzed from these databases for hospital readmissions for a second AMI, angina and congestive heart failure (CHF). RESULTS: There were 139,523 new AMI cases. The overall crude in-hospital AMI mortality rate in Canada was 12.3%. In-hospital mortality rate after an AMI was worse for women than for men in Canada (16.7% and 9.9%, respectively). The age- and sex-standardized in-hospital mortality rate varied from a low of 10.5% (95% CI 8.4% to 12.6%) in Prince Edward Island to a high of 13.1% (95% CI 12.8% to 13.5%) in Quebec. Among AMI survivors, 12.5% were readmitted within one year for angina, 7.7% for a second AMI and 7.5% for CHF. There were wide interregional differences in age- and sex-standardized mortality rates and one-year readmission rates. CONCLUSIONS: AMI is associated with a substantial acute mortality rate in Canada, especially in the elderly and female patients. Identifying the causes of interregional differences in patient outcomes should be a priority for future research.

Outcomes of acute myocardial infarction in Canada. Publishing Authors By Initials

JV Tu,PC Austin,WA Filate,HL Johansen,SE Brien,L Pilote,DA Alter, ,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Outcomes of acute myocardial infarction in Canada. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Canadian journal of cardiology

VOLUME: 19

Page Numbers: 893-901

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ISSN: 1916-7075

DAY: 3

MONTH: Jul

YEAR: 2003

Outcomes of acute myocardial infarction in Canada. Information

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LANGUAGE: eng

NlmUniqueID: 8510280

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KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for Outcomes of acute myocardial infarction in Canada.

AFFILIATION: Sunnybrook and Women's College Health Sciences Centre, Toronto, Canada. tu@ices.on.ca

Country: Canada

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MEDLINETA: Can J Cardiol

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