© 1991 Oxford University Press
research-article |
Identification of Cases of Myocardial Infarction: Hospital Discharge Data and Mortality Data Compared to Myocardial Infarction Community Registers
*Department of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet Box 60208, S-10401 Stockholm, Sweden.
**Department of Family Medicine, Akademiska Hospital, Uppsala University Sweden.
Department of Medicine, Falun Hospital Sweden.
Department of Medicine, Östra Hospital, Gothenburg University Sweden.
§Department of Community Medicine, Gävle Hospital Sweden.
#Department of Medicine, Heart Section, Malmö Allmänna Hospital Malmö, Sweden.
Identification of incident myocardial infarction (MI) cases in a defined population using hospital discharge data and mortality data in combination has been suggested. This method of case identification was compared to that of use of MI community registers set up in accordance with principles adopted in a World Health Organization collaborative programme. The comparison comprised data for four Swedish cities over a number of years. On average 81% of incident hospital-treated cases below 65 years of age identified through MI community registers were found by the retrospective use of the method based on hospital discharge data and mortality data. Of hospital-treated cases identified by the latter method, 83% were also found by the MI community registers. For cases fulfilling the diagnostic criteria employed by the MI community registers this proportion would be higher, probably 87%–92%. Several reasons for cases being missed by either method were suggested by the results.
According to the findings of this study, the case identification of the method based on hospital discharge data and mortality data seems to be somewhat less efficient compared to use of MI community registers. This may be of importance in descriptive epidemiological studies, but is of less significance in analytical studies. The relative efficiency of the former method could be improved by a more reliable system for the recording of hospital discharges. If supplemented by a validation procedure, it could yield sufficiently accurate data for many epidemiological applications at a fairly low cost.
Revised 1 September 1990
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  F. M. Sanfilippo, M. S. T. Hobbs, M. W. Knuiman, and J. Hung Impact of New Biomarkers of Myocardial Damage on Trends in Myocardial Infarction Hospital Admission Rates from Population-based Administrative Data Am. J. Epidemiol., July 15, 2008; 168(2): 225 - 233. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Ostlin, K. Klerdal, and N. Hammar Time trends in incidence of myocardial infarction in male and female dominated occupations in Stockholm, Sweden Scand J Public Health, July 1, 2008; 36(5): 546 - 554. [Abstract] [PDF]
|
|
|
|
 |
|
 I. Janszky, R. Ljung, S. Ahnve, J. Hallqvist, A. M. Bennet, and K. J. Mukamal Alcohol and long-term prognosis after a first acute myocardial infarction: the SHEEP study Eur. Heart J., January 1, 2008; 29(1): 45 - 53. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. H. Silber, H. Altszuler, S. P. Fitzgerald, R. Ljung, M. Koster, I. Janszky, D. J. Becker, W. J. Kostis, K. Demissie, and A. E. Moreyra Weekend Admission for Myocardial Infarction N. Engl. J. Med., July 5, 2007; 357(1): 85 - 88. [Full Text] [PDF]
|
|
|
|
|
|
M. J. Holzmann, N. Hammar, S. Ahnve, T. Nordqvist, K. Pehrsson, and T. Ivert Renal insufficiency and long-term mortality and incidence of myocardial infarction in patients undergoing coronary artery bypass grafting Eur. Heart J., April 1, 2007; 28(7): 865 - 871. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T Lanki, J Pekkanen, P Aalto, R Elosua, N Berglind, D D'Ippoliti, M Kulmala, F Nyberg, A Peters, S Picciotto, et al. Associations of traffic related air pollutants with hospitalisation for first acute myocardial infarction: the HEAPSS study Occup. Environ. Med., December 1, 2006; 63(12): 844 - 851. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P Hjemdahl, S V Eriksson, C Held, L Forslund, P Nasman, and N Rehnqvist Favourable long term prognosis in stable angina pectoris: an extended follow up of the angina prognosis study in Stockholm (APSIS) Heart, February 1, 2006; 92(2): 177 - 182. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. von Klot, A. Peters, P. Aalto, T. Bellander, N. Berglind, D. D'Ippoliti, R. Elosua, A. Hormann, M. Kulmala, T. Lanki, et al. Ambient Air Pollution Is Associated With Increased Risk of Hospital Cardiac Readmissions of Myocardial Infarction Survivors in Five European Cities Circulation, November 15, 2005; 112(20): 3073 - 3079. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C Bigert, K Klerdal, N Hammar, J Hallqvist, and P Gustavsson Time trends in the incidence of myocardial infarction among professional drivers in Stockholm 1977-96 Occup. Environ. Med., December 1, 2004; 61(12): 987 - 991. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A Rosengren, C.-L Spetz, M Koster, N Hammar, L Alfredsson, and M Rosen Sex differences in survival after myocardial infarction in Sweden. Data from the Swedish National Acute Myocardial Infarction register Eur. Heart J., February 2, 2001; 22(4): 314 - 322. [Abstract] [PDF]
|
|
|
|
 |
|
 K. Orth-Gomer, S. P. Wamala, M. Horsten, K. Schenck-Gustafsson, N. Schneiderman, and M. A. Mittleman Marital Stress Worsens Prognosis in Women With Coronary Heart Disease: The Stockholm Female Coronary Risk Study JAMA, December 20, 2000; 284(23): 3008 - 3014. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M Horsten, M.A Mittleman, S.P Wamala, K Schenck-Gustafsson, and K Orth-Gomer Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study Eur. Heart J., July 1, 2000; 21(13): 1072 - 1080. [Abstract] [PDF]
|
|