| Titre : | Incidence, admission and case-fatality of acute myocardial infarction : weekend versus weekday in a Japanese population : 16-year results from Takashima AMI Registry (1988-2003). (2009) |
| Auteurs : | Tanvir-Chowdhury TURIN ; Yoshikuni KITA ; MORITA (Yutaka) : JPN. Makino Hospital. Takashima Shiga. ; NAKAMURA (Yasuyuki) : JPN. Kyoto Women's University. Kyoto. ; OKAYAMA (Akira) : JPN. The First Institute for Health Promotion and Health Care. Tokyo. ; Nahid RUMANA ; SUGIHARA (Hideki) : JPN. Takashima General Hospital. Takashima Shiga. ; TOMIOKA (Nobuyoshi) : JPN. Otsu Red Cross Hospital. Otsu Shiga. ; Hirotsugu UESHIMA ; Department of Health Science. Shiga University of Medical Science. Seta Tsukinowa-cho. Otsu Shiga. JPN |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 24, n° 2, 2009) |
| Pagination : | 93-100 |
| Langues: | Anglais |
| Mots-clés : | Incidence ; Mortalité ; Mort ; Etude comparée ; Japon ; Registre population ; Population ; Résultat ; Registre ; Epidémiologie ; Homme ; Asie ; Cardiopathie coronaire |
| Résumé : | [BDSP. Notice produite par INIST-CNRS D9n8R0xG. Diffusion soumise à autorisation]. For acute myocardial infarction (AMI), "weekend" has been associated with higher incidence, admission, and fatality. But, very few studies in this regard are available in Japan. Day of the week variation in AMI was examined using an entire community covering 16-year AMI registration data from Japan. Data were obtained from the Takashima AMI Registry, which covers a stable population of approximately 55,000 in central Japan. There were 379 registered first ever AMI cases with 121 fatal events within 28 days of onset during 1988-2003. We divided the days into two groups : Weekend' (Saturday and Sunday) and'Weekdays' (Monday to Friday). The incidence rate (per 100,000 person-year), admission rate (per 1,000 days) and 28-day case-fatality rates (per 100 events) as well as corresponding rate ratios were calculated with 95% confidence intervals. The distribution of the day of the week for onset, admission and fatality for all subjects was fairly random in our study population ; incidence (X2 test, P=0.8), admission (X2 test, P=0.9) and case-fatality (X2 test, P=0.8). The incidence, admission, and case-fatality rates were similar for the 2 day-groups. The incidence rate ratio 1.06 (95% CI : 0.9-1.3), admission ratio 1.03 (95% CI : 0.8-1.3), and case-fatality ratio 1.18 (95% CI : 0.7-1.9) showed no significant risk difference between weekend and weekday. After various adjustments, hazard ratio for weekend AMI in reference to weekday AMI was 1.07 (95% CI : 0.5-2.1). There were no obvious differences in occurrence, hospital admission and acute outcome for AMI patients in the weekday or weekend. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact