The regional distribution of in-hospital fatality among Acute Myocardial Infarction events in Italy
DOI:
https://doi.org/10.14600/irpps_wps.9.2005Keywords:
Acute Myocardial Infarction, Fatality rates, Attack rates, Hospitalization rates.Abstract
Aim of this paper is to investigate into the differences in the first treatment of Acute Myocardial Infarction (AMI) among Italian regional health care systems, by focusing on the regional distribution of in-hospital deaths. Starting from the theoretical care pathway (from the onset of the illness to hospitalization and recovery or possible death), the in-hospital deaths in each region are decomposed into the contributions of the attack rate, hospitalization and in-hospital fatality. The discrepancies in regional behaviour are investigated, in the aim to assess whether they can be attributed to different performances among Italian regions. The study is based on two data sources: hospital discharges, based on Diagnosis Related Groups (DRG) and provided by the Ministry of Health; death and population data by regions of residence, provided by the National Institute of Statistics.References
Capewell S, MacIntyre K, Stewart S, Chalmer JWT, Boyd J, Finlayson A, Redpath A, Pell JP, McMurray JJV, 2001: Age, sex, and social trends in out-of-hospital cardiac deaths in Scotland 1986-95: a retrospective cohort study. The Lancet, 358, 1213-1217.
Carey RG, 2003: Improving healthcare with control charts. ASQ, Milwaukee.
Celentano E, Palmieri L, Galasso R, Poce A, Panico S, Giampaoli S, 1999: Rischio cardiovascolare e classi sociali: confronto tra popolazioni femminili adulte abitanti aree rurali e urbane. Giornale Italiano di Cardiologia, 29, 692-697.
EUROCISS project, 2003, in europa.eu.int/comm/health/ph_projects/2000/monitoring/fp_monitoring_2000_frep_10_en.pdf
Federazione Italiana di Cardiologia, 2003: Censimento delle strutture cardiologiche in Italia, Italian Heart Journal, 4, 3S-75S.
Ferrario M, Cesana G, Vanuzzo D, Pilotto L, Sega R, Chiodini P, Giampaoli S, 2001: Surveillance of ischaemic heart disease: results from the Italian MONICA populations. International Journal of Epidemiology, 30, S23-S29.
Fox K, 2000: An introduction to the Global Registry of Acute Coronary Events: GRACE. European Heart Journal, 2, F21-F24.
Fox K, Cokkinos D, Deckers J, Keil U, Maggioni A, Steg G, 2000: The ENACT study: a pan-European survey of acute coronary syndromes. European Network for Acute Coronary Treatment. European Heart Journal, 21, 1440-1449.
Giampaoli S, Palmieri L, Capocaccia R, Pilotto L, Vanuzzo D, 2001: Estimating populationbased incidence and prevalence of major coronary events. International Journal of Epidemiology, 30, S5-S10.
Giampaoli S, Panico S, Palmieri L, Magrini N, Ferrario M, Pede S, Vannuzzo D, 2001: L’identificazione degli individui ad elevato rischio coronario nella popolazione italiana: indicazioni dall’Osservatorio Epidemiologico Cardiovascolare. Italian Heart Journal, 2, 1098-1106.
Giampaoli S, Vanuzzo D, 1999: I fattori di rischio cardiovascolare in Italia: una lettura in riferimento al Piano Sanitario Nazionale 1998-2000. Giornale Italiano di Cardiologia, 29, 1463-1470.
Giampaoli S, Vannuzzo D (eds), 2003: Italian Atlas of Cardiovascular Diseases. Italian Heart Journal, 4 (Suppl 4), 9S-121S.
Giampaoli S, Vannuzzo D, Ferrario M, Vancheri F, Cesana G, 2004: The National Register of Coronary and Cerebrovascular Events. Italian Heart Journal, 5 (Suppl 3), 22S-37S.
Greenland P, Reicher-Reiss H, Goldbourt U, Behar S, 1991: In-hospital and 1-year mortality in 1,524 women after myocardial infarction. Comparison with 4,315 men. Circulation, 83, 484–491.
Lezzoni LI, 1997: Assessing Qualità Using Administrative Data. Annals of Internal Medicine, 127, 666-674.
Istat, 2002: Cause di morte. Anno 1999. Annuari ISTAT, Roma.
Istat, 2004: Cause di morte. Anno 2000. Annuari ISTAT, Roma.
Mähonen M, Salomaa V, Keskimäki I, Moltchanov V, 2000: The feasibility of routine mortality and morbidity register data linkage to study the occurrence of acute coronary heart disease events in Finland. European Journal of Epidemiology, 16, 701-711.
Mohammed MA, Cheng KK, Rouse A, Marshall T, 2001: Bristol, Shipman, and clinical governance: Shewhart's forgotten lessons. The Lancet, 357, 463-467.
Pimenta L, Bassan R, Potsch A, Soares JF, Manes Albanesi Filho F, 2001: Is Female Sex an Independent Predictor of In-Hospital Mortality in Acute Myocardial Infarction? Archives of Brazilian Cardiology, 77, 44-50.
Shahian DM, Williamsom WA, Svensson LG, Restuccia JD, D'Agostino RS, 1996: Application of statistical quality control to cardiac surgery. Annals of Thoracis Surgery; 62, 1531-1539.
Shewhart WA, 1931: Economic control of quality of manufactured product. D. Van Nostrand Company, Princeton. (Reprinted by ASQC Quality Press, 1980).
Toffler GH, Stone PH, Muller JE, Willich SN, Davis VG, Poole K, et al. Effects of gender and race on prognosis after myocardial infarction: adverse prognosis for women, particularly black women. J Am Coll Cardiol. 1987; 9:473-482.
Tunstall-Pedoe H, Kuulasmaa K, Mähonen M, Tolonen H, Ruokokoski E, Amouyel P, 1999: Contribution to trends in survival and coronary y-event rates to changes in coronary heart disease mortality: 10-year results from 37 MONICA Project populations. The Lancet, 353, 1547-1557.
Yusuf S, Flather M, Pogue J, Hunt D, Varigos J, Piegas L, Avezum A, Anderson J, Keltai M, Budaj A, Fox K, Ceremuzynski L, 1998: Variations between countries in invasive cardiac procedures and outcomes in patients with suspected unstable angina or myocardial infarction without initial ST elevation. The Lancet, 352, 507-514.
Downloads
Published
How to Cite
Issue
Section
License
 | This licence lets others distribute, remix and build upon a work, even commercially, as long as they credit the original creator/s (and any other nominated parties). This is the most accommodating of the licences in terms of what others can do with the work. |
