Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner
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Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner. / Ersbøll, Annette Kjær; Kjærulff, Thora Majlund; Bihrmann, Kristine; Schipperijn, Jasper; Gislason, Gunnar; Larsen, Mogens Lytken.
I: Spatial and Spatio-temporal Epidemiology, Bind 19, 11.2016, s. 60-69.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner
AU - Ersbøll, Annette Kjær
AU - Kjærulff, Thora Majlund
AU - Bihrmann, Kristine
AU - Schipperijn, Jasper
AU - Gislason, Gunnar
AU - Larsen, Mogens Lytken
N1 - Copyright © 2016. Published by Elsevier Ltd.
PY - 2016/11
Y1 - 2016/11
N2 - BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.
AB - BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.
KW - Journal Article
U2 - 10.1016/j.sste.2016.06.001
DO - 10.1016/j.sste.2016.06.001
M3 - Journal article
C2 - 27839581
VL - 19
SP - 60
EP - 69
JO - Spatial and Spatio-temporal Epidemiology
JF - Spatial and Spatio-temporal Epidemiology
SN - 1877-5845
ER -
ID: 177528639