Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014

Objectives According to the Organization for Economic Cooperation and Development (OECD) data, 13% of deaths recorded in the European Union in 2010 were related to coronary heart disease. The Polish Central Statistical Office data show that cardiovascular mortality in 2014 was at the level of 100.1/...

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Main Authors: Piotr Choręza, Artur Filipecki, Małgorzata Kowalska, Aleksander J. Owczarek
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2021-06-01
Series:International Journal of Occupational Medicine and Environmental Health
Subjects:
Online Access:http://ijomeh.eu/Mortality-due-to-acute-myocardial-infarction-in-the-Silesian-Voivodship-Poland-in,128436,0,2.html
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author Piotr Choręza
Artur Filipecki
Małgorzata Kowalska
Aleksander J. Owczarek
author_facet Piotr Choręza
Artur Filipecki
Małgorzata Kowalska
Aleksander J. Owczarek
author_sort Piotr Choręza
collection DOAJ
description Objectives According to the Organization for Economic Cooperation and Development (OECD) data, 13% of deaths recorded in the European Union in 2010 were related to coronary heart disease. The Polish Central Statistical Office data show that cardiovascular mortality in 2014 was at the level of 100.1/100 000 general population. The aim of the study was to assess the current burden of deaths due to acute myocardial infarction (AMI) with the assessment of temporal and spatial variability in the Silesian Voivodeship, Poland. Material and Methods Depersonalized data obtained from the Silesian Voivodeship Branch of the National Health Fund of Poland, based in Katowice, were used as the study material. The death rate due to acute or subsequent myocardial infarction in each of the subregions of the Silesian Voivodeship was standardized to the European Standard Population 2013. The analyses of the annual AMI death rate for 2009–2014 were performed and assigned to all the subregions of the Silesian Voivodeship, according to the patients’ domicile. Results In this study, 37.7% of the patients (N = 20 806) were females, and 30 142 healthcare services were granted to them, accounting for 36.64% of all services provided to all patients. The average patient’s age during the service provision was 66±12 years, with women being about 6.5 years older than men (70±12 years vs. 64±11 years, respectively). The standardized death rate (SDR) values in each of the 8 subregions of the Silesian Voivodeship were analyzed. In 2009–2014, a substantial decrease in the SDR was noted in 7 of them, except for the Sosnowiec subregion in which an increase in the average annual SDR value was observed. Moreover, its values were the highest in the whole Silesian Voivodeship. Conclusions The obtained results confirmed the spatial variability of mortality due to AMI in the study region. The worst situation was observed in the Sosnowiec subregion in which the number of specific deaths continuously increased, probably due to the limited availability of cardiological and invasive cardiology treatments or adverse health conditions. Int J Occup Med Environ Health. 2021;34(3):363–72
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spelling doaj.art-2c232791cd614e71a29bb2c064440b5e2022-12-21T22:39:38ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2021-06-0134336337210.13075/ijomeh.1896.01668128436Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014Piotr Choręza0Artur Filipecki1Małgorzata Kowalska2Aleksander J. Owczarek3Medical University of Silesia in Katowice, Sosnowiec, Poland (Faculty of Pharmaceutical Sciences in Sosnowiec, Department of Statistics)Medical University of Silesia in Katowice, Katowice, Poland (Faculty of Medical Sciences in Katowice, 1st Department of Cardiology)Medical University of Silesia in Katowice, Katowice, Poland (Faculty of Medical Sciences in Katowice, Department of Epidemiology)Medical University of Silesia in Katowice, Sosnowiec, Poland (Faculty of Pharmaceutical Sciences in Sosnowiec, Department of Statistics)Objectives According to the Organization for Economic Cooperation and Development (OECD) data, 13% of deaths recorded in the European Union in 2010 were related to coronary heart disease. The Polish Central Statistical Office data show that cardiovascular mortality in 2014 was at the level of 100.1/100 000 general population. The aim of the study was to assess the current burden of deaths due to acute myocardial infarction (AMI) with the assessment of temporal and spatial variability in the Silesian Voivodeship, Poland. Material and Methods Depersonalized data obtained from the Silesian Voivodeship Branch of the National Health Fund of Poland, based in Katowice, were used as the study material. The death rate due to acute or subsequent myocardial infarction in each of the subregions of the Silesian Voivodeship was standardized to the European Standard Population 2013. The analyses of the annual AMI death rate for 2009–2014 were performed and assigned to all the subregions of the Silesian Voivodeship, according to the patients’ domicile. Results In this study, 37.7% of the patients (N = 20 806) were females, and 30 142 healthcare services were granted to them, accounting for 36.64% of all services provided to all patients. The average patient’s age during the service provision was 66±12 years, with women being about 6.5 years older than men (70±12 years vs. 64±11 years, respectively). The standardized death rate (SDR) values in each of the 8 subregions of the Silesian Voivodeship were analyzed. In 2009–2014, a substantial decrease in the SDR was noted in 7 of them, except for the Sosnowiec subregion in which an increase in the average annual SDR value was observed. Moreover, its values were the highest in the whole Silesian Voivodeship. Conclusions The obtained results confirmed the spatial variability of mortality due to AMI in the study region. The worst situation was observed in the Sosnowiec subregion in which the number of specific deaths continuously increased, probably due to the limited availability of cardiological and invasive cardiology treatments or adverse health conditions. Int J Occup Med Environ Health. 2021;34(3):363–72http://ijomeh.eu/Mortality-due-to-acute-myocardial-infarction-in-the-Silesian-Voivodship-Poland-in,128436,0,2.htmlcardiologyacute myocardial infarctiondeath ratesilesian voivodshipburden of deathsstandardized death rate
spellingShingle Piotr Choręza
Artur Filipecki
Małgorzata Kowalska
Aleksander J. Owczarek
Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
International Journal of Occupational Medicine and Environmental Health
cardiology
acute myocardial infarction
death rate
silesian voivodship
burden of deaths
standardized death rate
title Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
title_full Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
title_fullStr Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
title_full_unstemmed Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
title_short Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014
title_sort mortality due to acute myocardial infarction in the silesian voivodship poland in 2009 2014
topic cardiology
acute myocardial infarction
death rate
silesian voivodship
burden of deaths
standardized death rate
url http://ijomeh.eu/Mortality-due-to-acute-myocardial-infarction-in-the-Silesian-Voivodship-Poland-in,128436,0,2.html
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AT małgorzatakowalska mortalityduetoacutemyocardialinfarctioninthesilesianvoivodshippolandin20092014
AT aleksanderjowczarek mortalityduetoacutemyocardialinfarctioninthesilesianvoivodshippolandin20092014