Open AccessTHE STUDY OF ACUTE CHRONIC HEART DISEASE PREVALENCE AND MORTALITY IN RYAZAN BY THE EXAMPLE OF ZHELEZNODOROZHNIY REGION
Author(s) -
Н. Н. Никулина
Publication year - 2009
Publication title -
rossijskij mediko-biologičeskij vestnik imeni akademika i. p. pavlova/rossijskij mediko-biologičeskij vestnik imeni akademika i.p. pavlova
Language(s) - English
Resource type - Journals
eISSN - 2500-2546
pISSN - 0204-3475
DOI - 10.17816/pavlovj20164119-125
Subject(s) - medicine , overdiagnosis , mortality rate , autopsy , cause of death , emergency medicine , disease , population , ischaemic heart disease , statistic , pediatrics , environmental health , statistics , mathematics
The fatal and nonfatal cases of acute CHD were actively revealed among 81 841 population for 6 months by review of medical out-patient cards, hospital medical histories, ambulance reports, acts of civil status, autopsy reports and premortal symptoms. The specified cardiovascular mortality amounted 57.4% of adults (≥18years) mortality (vs statistical level of 61.1%, р>0.05). CHD as cause of death was not confirmed in 29.1% cases (р<0.01). As a result of detection of acute CHD induced out-ofhospital deaths the specified acute CHD death-rate exceeded the statistic level in 2.4 times (р<0.001) and out-of-hospital mortality mounted to 61.1% (statistic rate - 19.0%).
The study results revealed the overdiagnosis of CHD as cause of death with significant depreciation of acute CHD death-rate, especially in out-of-hospital death cases.