Spatial Distribution of Hospitalizations for Ischemic Heart Diseases in the Central Region of Asturias, Spain

Isabel Martínez-Pérez, Verónica González-Iglesias, Valentín Rodríguez Suárez and Ana Fernández-Somoano
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Isabel Martínez-Pérez: IUOPA-Área de Medicina Preventiva y Salud Pública, Departamento de Medicina, Universidad de Oviedo, C/Julián Clavería s/n, 33006 Oviedo, Spain
Verónica González-Iglesias: IUOPA-Área de Medicina Preventiva y Salud Pública, Departamento de Medicina, Universidad de Oviedo, C/Julián Clavería s/n, 33006 Oviedo, Spain
Valentín Rodríguez Suárez: Dirección General de Salud Pública, Consejería de Salud, Principado de Asturias, C/Ciriaco Miguel Vigil, 9, 33006 Oviedo, Spain
Ana Fernández-Somoano: IUOPA-Área de Medicina Preventiva y Salud Pública, Departamento de Medicina, Universidad de Oviedo, C/Julián Clavería s/n, 33006 Oviedo, Spain

IJERPH, 2021, vol. 18, issue 23, 1-10

Abstract: Hospitalizations for ischemic heart disease have an uneven distribution throughout Spain, in which Asturias is the community with the highest rates of acute myocardial infarction (AMI) and angina pectoris (AP). Cardiovascular diseases are related to environmental, socioeconomic and previous medical conditions, which result in geographical differences in the incidence of hospital admissions and mortality. The goal of this study was to describe the spatial distribution of hospital admissions in the central area of Asturias and explore the existence of spatial patterns or clusters. Urgent hospital admissions for AMI and angina AP in the hospitals of the central area of Asturias were registered, geocoded and grouped by census tracts. Standardized admission ratio, smoothed relative risk, posterior risk probability and analysis of spatial clusters between relative risks throughout the study area were calculated and mapped. Geographical differences were found in the distribution of hospital admissions for AMI and AP across the area and between men and women. The cluster analysis indicated contiguous census tracts with high relative risk values in the northwest region of the study area and low relative risk in the east, particularly for men. The geographical analysis shows the existence of patterns and spatial clusters in the incidence of AMI and AP, for both men and women, in the central area of Asturias.

Keywords: acute myocardial infarction; angina pectoris; hospital admission; spatial distribution; disease mapping (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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