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

Annette Kjær Ersbøll; Thora Majlund Kjærulff; Kristine Bihrmann; Jasper Schipperijn; Gunnar Gislason; Mogens Lytken Larsen

doi:10.1016/j.sste.2016.06.001

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

Annette Kjær Ersbøll, Thora Majlund Kjærulff, Kristine Bihrmann, Jasper Schipperijn, Gunnar Gislason, Mogens Lytken Larsen

Department of Clinical Medicine

6 Citations (Scopus)

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 language	English
Journal	Spatial and Spatio-temporal Epidemiology
Volume	19
Pages (from-to)	60-69
Number of pages	10
ISSN	1877-5845
DOIs	https://doi.org/10.1016/j.sste.2016.06.001
Publication status	Published - 1 Nov 2016

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Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner. / Ersbøll, Annette Kjær; Kjærulff, Thora Majlund; Bihrmann, Kristine et al.

In: Spatial and Spatio-temporal Epidemiology, Vol. 19, 01.11.2016, p. 60-69.

Research output: Contribution to journal › Journal article › Research › peer-review

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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.",

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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 - 2016/11/1

Y1 - 2016/11/1

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 - Journal Article

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DO - 10.1016/j.sste.2016.06.001

M3 - Journal article

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SN - 1877-5845

VL - 19

SP - 60

EP - 69

JO - Spatial and Spatio-temporal Epidemiology

JF - Spatial and Spatio-temporal Epidemiology

ER -

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

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