| Titre : | Coronary heart disease mortality, morbidity, and case fatality in five east and West German cities 1985-1989. (1996) |
| Auteurs : | W. BARTH ; S. BOTHIG ; S. BRASCHE ; E. CLASSEN ; E. GREISER ; L. HEINEMANN ; B. Herman ; U. KEIL ; M. LEWIS ; H. LOWEL ; D. QUIETZCH ; G. VOIGT ; Acute Myocardial Infarction Register Team of Erfurt. DEU ; Bremen Institute of Prevention Research and Social Medicien Bips Bremen. DEU ; Central Hospital of Augsburg. Augsburg. DEU ; Centre for Epidemiology and Health Research Zeg Zepernick. DEU ; Gsf-Institute of Epidemiology. Obserschleisseheim. DEU |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 49, n° 11, 1996) |
| Pagination : | 1277-1284 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Infarctus ; Myocarde ; Mortalité ; Morbidité ; Epidémiologie ; Homme ; Allemagne ; Europe ; Etude comparée ; Appareil circulatoire [pathologie] ; Myocarde [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST XbYKR0x4. Diffusion soumise à autorisation]. Cardiovascular mortality (CVD ; International Classification of Diseases [ICD] 390-458) is higher in East than in West Germany, but the differences in official coronary heart disease mortality (CHD ; ICD 410-414) are not so pronounced. The aim of this study was to validate the official mortality statistics based on the five German AMI registers and to analyze whether these mortality differences are due to differences in the attack rates of acute myocardial infarction (AMI) or to differences in the 28-day case fatality rates. This comparison includes the MONICA study cities of Augsburg and Bremen, both in West Germany, as well as the cities of Chemnitz, Erfurt, and Zwickau in East Germany (former the German Democratic Republic). The rates were calculated on the basis of all MONICA cases of definite AMI or coronary death aged 35 to 64 years occurring in the respective study populations between 1985 and 1989. All study populations except women in Augsburg showed higher coronary death rates compared to the rates based on the official cause of death statistics (ICD 410-414), but this difference was significant only for men in Chemnitz. In men there were no significant differences in the register-based coronary death rates between these urban areas (160/100,000 in Zwickau to 170/100,000 in Chemnitz) nor in the AMI attack rates (327/100,000 in Augsburg to 363/100,000 in Chemnitz), and consequently no significant center differences in the overall 28-day case fatality. (...) |
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