Ischaemic heart disease mortality in Serbia, 1991-2013; a joinpoint analysis.
Indian J Med Res
; 146(6): 746-753, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-29664033
ABSTRACT
BACKGROUND & OBJECTIVES:
Ischaemic heart disease (IHD) has been one of the leading causes of mortality in the world. In many European countries the mortality rates due to IHD have been rising rapidly. This study was aimed to assess the IHD mortality trend in Serbia.METHODS:
A population-based cross-sectional study analyzing IHD mortality in Serbia in the period 1991-2013 was carried out based on official data. The age-standardized rates (ASRs, per 100,000) were calculated using the direct method, according to the European standard population. Joinpoint analysis was used to estimate the average annual percentage change (AAPC) with the corresponding 95 per cent confidence interval (CI).RESULTS:
More than 253,000 people (143,420 men and 110,276 women) died due to IHD in Serbia during the observed period, and most of them (over 160,000 people) were patients with myocardial infarction (MI). Average annual ASR for IHD was 113.6/100,000. There was no overall significant trend for mortality due to IHD (AAPC=+0.1%, 95% CI -0.8-1.0), but there was one joinpoint the trend significantly increased by +2.3 per cent per year from 1991 to 2006 and then significantly decreased by -6.4 per cent from 2006 to onwards. Significantly decreased mortality trends for MI in both genders were observed according to the comparability test, mortality trends in men and women were parallel (final selected model failed to reject parallelism, P=0.0567). INTERPRETATION &CONCLUSIONS:
No significant trend for mortality due to IHD was observed in Serbia during the study period. The substantial decline of mortality from IHD seen in most developed countries during the past decades was not observed in Serbia. Further efforts are required to reduce mortality from IHD in Serbian population.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doença da Artéria Coronariana
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Isquemia Miocárdica
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Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article