Pérez G, Marrugat J, Sala J
Departament d'Epidemiologia i Salut Pública, Institut Municipal d'Investigació Mèdica, Barcelona, Spain.
J Clin Epidemiol. 1993 Oct;46(10):1173-9. doi: 10.1016/0895-4356(93)90116-i.
This study was conducted to establish the attack rate, mortality rate and 28-day case-fatality rates of acute myocardial infarction (AMI) occurring in Girona, Spain, between October 1987 and September 1988. The study was carried out using a population register of AMI, and took place in one central hospital, and eight county hospitals in Girona (in the autonomous community of Catalonia, northeast Spain). Subjects comprised 222 fatal cases selected from 4069 death certificates, and 210 non-fatal cases from hospital records, among subjects aged between 25 and 74 years (reference population 263,778). The age standardized attack rate was 105.6 per 100,000 inhabitants in the age group 35-64 (193.6 in men and 17.6 in women). The age standardized mortality rate was 36.3 per 100,000 inhabitants in the age group 35-64 (63.1 among men and 9.9 among women). The age standardized 28-day case-fatality was 34.6% in men and 50.1% in women in this same age group. Attack and mortality rates of AMI in a region of Spain are presented for the first time. These rates are lower than in other developed countries, nevertheless the 28-day case-fatality is similar to that of these countries.
本研究旨在确定1987年10月至1988年9月间发生在西班牙赫罗纳的急性心肌梗死（AMI）的发病率、死亡率和28天病死率。该研究利用AMI人群登记册，在赫罗纳的一家中心医院和八家县级医院（位于西班牙东北部加泰罗尼亚自治区）开展。研究对象包括从4069份死亡证明中选取的222例死亡病例，以及从医院记录中选取的210例非死亡病例，年龄在25至74岁之间（参考人群为263,778人）。35 - 64岁年龄组的年龄标准化发病率为每10万居民105.6例（男性为193.6例，女性为17.6例）。35 - 64岁年龄组的年龄标准化死亡率为每10万居民36.3例（男性为63.1例，女性为9.9例）。在同一年龄组中，男性的年龄标准化28天病死率为34.6%，女性为50.1%。首次公布了西班牙一个地区的AMI发病率和死亡率。这些比率低于其他发达国家，不过28天病死率与这些国家相似。
