Explaining trends in coronary heart disease hospitalisations in New Zealand: trend for admissions and incidence can be in opposite directions

Chan, Wing Cheuk; Wright, Clinton S.; Tobias, Martin; Mann, Stewart; Jackson, Rod

doi:10.1136/hrt.2008.142588

Cited by 31 publications

(34 citation statements)

References 18 publications

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“…[11][12][13][14][15][16][17] Against a declining population with established CHD are recent reports of a flattening of agespecific CHD mortality rates among 35-to 44-year-olds and 45-to 54-year-olds in the United States and United Kingdom, in which increasing rates of overweight and diabetes have been implicated. 11,18 During the study period, age-adjusted mortality rates from CHD fell sharply but at approximately the same rate in the populations with and without CHD, whereas rates of nonfatal MI remained virtually unchanged in both.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Population Trends of Recurrent Coronary Heart Disease Event Rates Remain High

Briffa

Hobbs

Tonkin

et al. 2011

Circ: Cardiovascular Quality and Outcomes

131

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Background-Survivors of nonfatal coronary heart disease (CHD) can reduce their risk of further events by various preventive interventions. The impact of such measures as delivered over 11 years, on population rates of subsequent major CHD events, has not been extensively studied. This study determined population trends in the prevalence of clinically manifest CHD and the proportion of major CHD events that occur in this population. Methods and Results-A population longitudinal person-based event-linked file of CHD extracted from State HospitalMorbidity Data and Death Registry for 1980 to 2005 was used to identify, for each year from 1995 to 2005, survivors who had a hospitalization for CHD over the previous 15 years (population with established CHD), and to examine the occurrence of CHD death and hospitalization with a principal diagnosis of myocardial infarction in both populations with and without established CHD. The average annual age-standardized prevalence of CHD in the Perth metropolitan region (population 1.6 million) was 28 373 (8.8%) in men and 14 966 (4.0%) in women. Age-specific prevalence increased exponentially with age, from Ͻ1% in 35 to 39 age group to 42% in 80 to 84 age group in men and half that in women. The percentage of total CHD events (nϭ28 941) that occurred in the population with established CHD was approximately 43% in both men and women, 55% and 51%, respectively, for CHD death and 35% and 36% for nonfatal myocardial infarction. Conclusions-More than 40% of major CHD events annually occur in persons with manifest disease, highlighting the imperative to implement systems of care that support effective secondary prevention. (Circ Cardiovasc Qual Outcomes.

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Section: Discussionmentioning

confidence: 99%

“…However, we have previously shown that trends of nonfatal MI based on principal discharge diagnoses in the Hospital Morbidity Data ve risk for tota 13 System are valid. 6,7 Further, near complete follow-up (estimated at 99%) was ensured through the well-established data linkage procedures.…”

Section: Briffa Et Al Recurrent Coronary Heart Disease Trends 111mentioning

confidence: 99%

Population Trends of Recurrent Coronary Heart Disease Event Rates Remain High

Briffa

Hobbs

Tonkin

et al. 2011

Circ: Cardiovascular Quality and Outcomes

131

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“…Økningen var markant fra midt i 1990-årene og i en tiårs-periode fremover, og den var klart sterkere enn det som kunne forventes som følge av at befolkningen ble eldre. Den ulike utviklingen i ulike aldersgrupper er fortsettelsen av en tendens vi har beskrevet tidligere (1, 2) og som også er funnet i andre land (10). Én forklaring kan vaere følgende: Parallelt med eller endog i forkant av den godt dokumenterte reduksjonen i hjerte-og kardødelighet i Norge som startet i 1970-årene, har det med stor sannsynlighet skjedd en reduksjon i hjerteinfarktinsidensen hos middelaldrende.…”

Section: Materiale Og Metodeunclassified

“…I en nyere studie fra New Zealand er det gjort tilsvarende funn (10). Våre observasjoner er også forenlig med det faktum at den nedadgående tendensen for hjerte-og kardødelighet i denne gruppen har fortsatt på 2000-tallet (11).…”

Section: Materiale Og Metodeunclassified

Hjerteinfarkt i Norge 1991 – 2007

Hagen¹,

Anthun²,

Reikvam³

2010

Tidsskriftet

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“…After an early presumptive diagnosis is made rooted in the findings of the history and physical, cardiac testing founds the diagnosis and settles on the practicable competence of the patient, the cruelty of the disease, and the type of threat into a person cataract. With anecdotal levels of aspect and accuracy, diagnostic tests can launch or verify the incidence of obstructions in the coronary arteries, the level of blockages, injure to the heart muscle, swelling of the heart chambers, hereditary heart defects, irregularities of the heart valves, and electrical disorder that interferes with the rhythm of the heartbeat [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Anticipating of Cardiovascular Heart Diseases using Computer based Poly Trees Model

AbdElhamidAbbas¹

2012

IJCA

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Cardiovascular Heart Disease CHD is one of main causes of death. Many signs and 49 disease is associated with CHD. The purpose of this paper is to infer accuracy the Probability of Disease considering all factors and signs. To achieve this goal, the paper uses the concept of structured poly tree and Directed Acyclic Graphical model DAG to predict all the cases that can cause Cardiovascular Heart Disease. Depending on a hypothesis samples contain certain number of persons in the social society, this study identifies the existence of the disease in precise method. The main objective of this paper is to forecast the existence of any CHD diseases between samples of patients due to the signs of diseases appear on patients. This paper suggests the methodology of deduction starts by constructing the probabilistic graphical model of cardiovascular diseases, and then assigns and retrieves data through the nodes of the tree based on the rules of creating a Poly-Tree PT. And then seek to recuperate the configuration of the PT whilst making light of eradicating the necessitate intended for exterior semantics to resolve the way of the undergrowth. The first trend is to confine the advance to nondisintegrate PTs. A causal basin initiates with a multi-parent gather and persists in the route of causal stream to embrace all of the child's offspring and all the through parents of offspring. The results based on system simulation depicts that directed acyclic graphical poly tree model predicts all types of heart diseases accurately and easily in an optimal situation. The benefit achieved in accurate inferring methods is to find a new way helps doctor do their diagnosis well. Inference system is presented to avoid false prediction of CHD. The most significant additional properties of this system is taking into account all diseases and signs points to CHD. General Terms

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Explaining trends in coronary heart disease hospitalisations in New Zealand: trend for admissions and incidence can be in opposite directions

Cited by 31 publications

References 18 publications

Population Trends of Recurrent Coronary Heart Disease Event Rates Remain High

Population Trends of Recurrent Coronary Heart Disease Event Rates Remain High

Hjerteinfarkt i Norge 1991 – 2007

Anticipating of Cardiovascular Heart Diseases using Computer based Poly Trees Model

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