Acute Myocardial Infarction Mortality Rates and Trends in Romania between 1994 and 2017

Sorin Ioacara, Andreea C. Popescu, Joseph Tenenbaum, Doina R. Dimulescu, Mihaela R. Popescu, Anca Sirbu and Simona Fica
Additional contact information
Sorin Ioacara: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Andreea C. Popescu: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Joseph Tenenbaum: Cardiology Department, Columbia University, New York, NY 10027, USA
Doina R. Dimulescu: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Mihaela R. Popescu: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Anca Sirbu: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Simona Fica: Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania

IJERPH, 2019, vol. 17, issue 1, 1-9

Abstract: Introduction: The current study aimed to assess recent acute myocardial infarction (AMI) mortality rates and trends in Romania between 1994 and 2017. This dataset is a necessity in the context of the current improvement of emergency protocols, medical addressability, and modernization of hospital infrastructure. Materials and Methods: The study is a retrospective analysis of an anonymized mortality database containing all deaths registered in Romania during 1994–2017. AMI crude mortality rates (CMR) and age-standardized mortality rates (ASMR) were calculated using the European Standard Population. Poisson regression was used for calculating the annual percentage change (APC) in mortality, subsequently used to make mortality predictions through the year 2030. Results: There were 197,152 AMI deaths in women (39.3% of total AMI), and 304,644 (60.7%) in men. Mortality rates were higher in men as compared with women for the entire time covered by the study. Based on the 1994–2017 ASMR dynamics, predictions for the year 2030 showed an overall AMI ASMR of 70.9 (95% CI 69.9–71.9), with gender analysis showing 46.8 (95% CI 45.8–47.9) in women and 104.1 (95% CI 102.3–105.8) in men. Conclusion: Acute myocardial infarction age-standardized mortality rates decreased significantly in Romania between 1994 and 2017 in close correlation to the implementation of national healthcare programs.

Keywords: mortality trend; myocardial infarction; life expectancy; healthcare programs (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/1/285/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/1/285/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2019:i:1:p:285-:d:303656

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().