Titre :
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Worldwide endeavour for epidemiology and prevention of cardiovascular disease - Rome, 6-7 September 1999. Socio-occupational differences in acute myocardial infarction case-fatality and coronary care in a northern Italian population. (2001)
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Auteurs :
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Giancarlo CESANA ;
Felice ACHILLI ;
Robert BEAGLEHOLE, éd. ;
Marco FERRARIO ;
Silvia GIGANTE ;
Salvatore PANICO, éd. ;
Rodolfo SARACCI, éd. ;
Roberto SEGA ;
Claudia TOSO ;
Environmental and Occupational Medicine Unit. Ospedale San Gerardo dei Tintori. Monza. ITA ;
Research Center for Chronic Degenerative Diseases. University of Milano-Bicocca. Monza. ITA ;
Worldwide Endeavour for Epidemiology and Prevention of Cardiovascular Disease. Symposium. (06/09/1999; Rome. ITA)
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 30, 2001)
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Pagination :
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S53-S58
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Langues:
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Anglais
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Mots-clés :
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Infarctus
;
Myocarde
;
Classe sociale
;
Mortalité
;
Pronostic
;
Facteur risque
;
Sévérité
;
Epidémiologie
;
Homme
;
Italie
;
Europe
;
Appareil circulatoire [pathologie]
;
Cardiopathie coronaire
;
Myocarde [pathologie]
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Résumé :
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[BDSP. Notice produite par INIST-CNRS EpR0xQfr. Diffusion soumise à autorisation]. To appraise 28-day case-fatality of myocardial infarction (MI) among socio-occupational classes ; to assess the consistency of the results for different degrees of MI severity ; to explore if such differences are related to differences in management and treatment of the acute attack. All coronary events (n=1077), registered in 1993-1994 among the 35-64 year old male residents in MONICA Area Brianza were investigated and classified into diagnostic categories according to MONICA criteria. For all cases standardized information on acute coronary care and interventions before and during hospitalization was collected. Classification of social classes was derived from the Erikson-Goldthorpe-Portocarero social class scheme, based on information on occupational characteristics widely available in European countries. An increasing rate of case-fatality for decreasing levels of socio-occupational class was found. The social gradient resulted mainly from the higher incidence of out-of-hospital cardiac arrests. Treatment before and during the acute attack cannot explain the observed differences. i Combining these results with those obtained in other MONICA centres, it appears that further decreases in coronary mortality might be achieved through specific programmes addressed in particular to the reduction of out-of-hospital case-fatality in lower social classes.
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