| Titre : | Explaining the recent decrease in coronary heart disease mortality rates in Ireland, 1985-2000. (2006) |
| Auteurs : | Kathleen BENNETT ; Simon CAPEWELL ; Julia CRITCHLEY ; John FEELY ; Zubair KABIR ; Ivan PERRY ; Emer SHELLEY ; Belgin UNAL ; St James's Hospital. Trinity Centre for Health Sciences. Department of Pharmacology and Therapeutics. Dublin. IRL |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 60, n° 4, 2006) |
| Pagination : | 322-327 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Mortalité ; Epidémiologie ; Irlande ; Europe ; Homme ; Appareil circulatoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS xgR0xCM7. Diffusion soumise à autorisation]. Study objectives : To examine the proportion of the recent decline in coronary heart disease (CHD) deaths in Ireland attributable to (a) "evidence based" medical and surgical treatments, and (b) changes in major cardiovascular risk factors. Design setting : IMPACT, a previously validated model, was used to combine and analyse data on the use and effectiveness of specific cardiology treatments and risk factor trends, stratified by age and sex. The main data sources were published trials and meta-analyses, official statistics, clinical audits, and observational studies. Results : Between 1985 and 2000, CHD mortality rates in Ireland fell by 47% in those aged 25-84. Some 43.6% of the observed decrease in mortality was attributed to treatment effects and 48.1% to favourable population risk factor trends ; specifically declining smoking prevalence (25.6%), mean cholesterol concentrations (30.2%), and blood pressure levels (6.0%), but offset by increases in adverse population trends related to obesity, diabetes, and inactivity (-13.8%). Conclusions : The results emphasise the importance of a comprehensive strategy that maximises population coverage of effective treatments, and that actively promotes primary prevention, particularly tobacco control and a cardioprotective diet. |
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