Hirsch Katharina, Bohley Stefanie, Mau Wilfried, Schmidt-Pokrzywniak Andrea
Martin Luther University Halle-Wittenberg, Institute of Medical Epidemiology, Biostatistics, and Informatics, Magdeburger Str. 8, Halle (Saale), D-06097, Germany.
Martin Luther University Halle-Wittenberg, Institute of Rehabilitation Medicine, Magdeburger Str. 8, Halle (Saale), D-06097, Germany.
BMC Cardiovasc Disord. 2016 Aug 17;16(1):159. doi: 10.1186/s12872-016-0336-x.
Cardiovascular disease (CVD) is a leading cause of death in Europe. In Germany, a declining mortality rate from acute myocardial infarction (AMI) has been observed in the last decades. Nevertheless, there are large differences between the federal states when looking at the mortality and morbidity of AMI. Saxony-Anhalt is one of the federal states with the highest mortality rates for AMI in Germany. In 2012, the regional myocardial infarction registry of Saxony-Anhalt (RHESA) was established to investigate the individual, infrastructural, and health care factors with respect to an urban (city of Halle) and rural (region of Altmark) population. For detailed observation the RHESA-CARE study was conducted in 2014. RHESA-CARE focuses on the symptoms during infarction, the behaviour of patients while alerting for infarction, the use of rehabilitation possibilities, and long-term care.
METHODS/DESIGN: RHESA-CARE is an extended baseline survey of AMI patients registered in RHESA who are aged 25 or more, and inhabitants of the city of Halle (Saale) or the district of Altmark in the federal state of Saxony-Anhalt, Germany. Detailed information was collected on classical and psychosocial cardiovascular risk factors as well as factors of alerting behaviour, first aid, and utilization of medical and rehabilitation services. High data quality is ensured by a detailed system of quality control.
RHESA-CARE has the main objective to investigate factors that influence morbidity and mortality rates due to AMI. Another purpose is the comparison of a rural and urban patient population. It provides an opportunity to serve as a base for improvement of patients' behaviour and health care as well as further research.
心血管疾病（CVD）是欧洲主要的死亡原因。在德国，过去几十年间急性心肌梗死（AMI）的死亡率呈下降趋势。然而，在观察AMI的死亡率和发病率时，各联邦州之间存在很大差异。萨克森-安哈尔特州是德国AMI死亡率最高的联邦州之一。2012年，萨克森-安哈尔特州建立了区域心肌梗死登记处（RHESA），以调查城市（哈雷市）和农村（阿尔特马克地区）人口在个体、基础设施和医疗保健方面的因素。为进行详细观察，2014年开展了RHESA-CARE研究。RHESA-CARE关注梗死期间的症状、患者在梗死警报时的行为、康复可能性的利用情况以及长期护理。
方法/设计：RHESA-CARE是对在RHESA登记的25岁及以上的AMI患者以及德国萨克森-安哈尔特州哈雷市（萨勒）或阿尔特马克区居民进行的扩展基线调查。收集了有关经典和社会心理心血管危险因素以及警报行为、急救和医疗及康复服务利用等因素的详细信息。通过详细的质量控制体系确保了高数据质量。
RHESA-CARE的主要目标是调查影响AMI发病率和死亡率的因素。另一个目的是比较农村和城市患者群体。它为改善患者行为和医疗保健以及进一步研究提供了一个基础。
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