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Acta Medica Medianae
Correspondence to:
Zorana Deljanin Centar za kontrolu i prevenciju bolesti Instituta za javno zdravlje Bulevar dr Zorana Đinđića 50 18000 Niš, Srbija Tel.: 018 226 448 lokal 152 E-mail: zoranam@bankerinter.net
Copyright 2007 by Faculty of Medicine, University of Nis |
ACUTE MYOCARDIAL INFARCTION MORBIDITY AND MORTALITY IN POPULATION OF 30-64 YEARS OF AGE IN THE CITY OF NIS IN THE PERIOD FROM 2001 TO 2005
Zorana Deljanin, Natasa Rancic, Mirko Ilic, Branislav Petrovic and
Branislav Tiodorovic The aim of the paper was to determine the morbidity and mortality from acute myocardial infarction (AMI) in the population of 30-64 years of age in the city of Nis. Retrospectively, data about patients who were hospitalized in the coronary units at the territory of the city of Nis between 2001and 2005 were analyzed. Data about patients were obtained from the AMI Population-based Register of the Public Health Institute in Nis. The total of 1115 cases of AMI in the population of 30-64 years of age was registered, 813 (72,9%) attacks in men and 302 (27,1%) in women, 128 (11,5%) fatal and 987 (88,5%) non-fatal cases of AMI. Among men, the highest number was in the age group of 55-59 years – 239 (29,4%) subjects, and among women 60-64 years of age – 110 (36,4%) subjects. The male patients were 62,0 years old and the female ones were 65,6 years on average. On average, lethality in men was 50,6% and among women 56,8%. The difference was statistically significant (c2=3,38679; p<0,10). Average 28-day case-fatality among hospitalized men was 24,3% and among women 33,2% (c2=14,929978; p<0,01). Unadjusted attack rate has showed continual increase among men and slight increase among women. The age-adjusted attack rate /100 000 of AMI was the lowest in 2001 (among men 83,7 and women 36,8) and the highest in 2005 (among men 144,2 and women 45,6). Unadjusted mortality rate showed continual increase both in men and in women. Age-adjusted mortality rate /100 000 among men ranged from 3,0 to 24,7 and it was 8,2 times higher in 2005 compared with the same rate in 2001. The age-adjusted mortality rate /100 000 among women ranged from 1,9 to 22,1 in 2005, and it increased by 11,6 times between 2001 and 2005. Both unadjusted and age-adjusted attack and mortality rates from AMI showed continuous increase. Women were older than men at the time of first AMI. Average case-fatality was higher among women than among men. Acta Medica Medianae 2007;46(2):21-24.
Key words: acute myocardial infarction, attack rate, case-fatality, mortality rate |