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@article{Asaria:2017:10.1016/S2468-2667(17)30032-4,
author = {Asaria, P and Elliott, P and Douglass, M and Obermeyer, Z and Soljak, M and Majeed, A and Ezzati, M},
doi = {10.1016/S2468-2667(17)30032-4},
journal = {Lancet Public Health},
pages = {e191--e201},
title = {Acute myocardial infarction hospital admissions and deaths in England: a national follow-back and follow-forward record-linkage study},
url = {http://dx.doi.org/10.1016/S2468-2667(17)30032-4},
volume = {2},
year = {2017}
}

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TY  - JOUR
AB  - Background Little information is available on how primary and comorbid acute myocardial infarction contribute to the mortality burden of acute myocardial infarction, the share of these deaths that occur during or after a hospital admission, and the reasons for hospital admission of those who died from acute myocardial infarction. Our aim was to fill in these gaps in the knowledge about deaths and hospital admissions due to acute myocardial infarction. Methods We used individually linked national hospital admission and mortality data for England from 2006 to 2010 to identify all primary and comorbid diagnoses of acute myocardial infarction during hospital stay and their associated fatality rates (during or within 28 days of being in hospital). Data were obtained from the UK Small Area Health Statistics Unit and supplied by the Health and Social Care Information Centre (now NHS Digital) and the Office of National Statistics. We calculated event rates (reported as per 100000 population for relevant age and sex groups) and case-fatality rate for primary acute myocardial infarction diagnosed during the first physician encounter or during subsequent encounters, and acute myocardial infarction diagnosed only as a comorbidity. We also calculated what proportion of deaths from acute myocardial infarction occurred in people who had been in hospital on or within the 28 days preceding death, and whether acute myocardial infarction was one of the recorded diagnoses in such admissions. Findings Acute myocardial infarction was diagnosed in the first physician encounter in 307496 (69%) of 446744 admissions with a diagnosis of acute myocardial infarction, in the second or later physician encounter in 52374 (12%) admissions, and recorded only as a comorbidity in 86874 (19%) admissions. Patients with comorbid diagnoses of acute myocardial infarction had two to three times the case-fatality rate of patients in whom acute myocardial infarction was a primary diagnosis. 135950 death
AU  - Asaria,P
AU  - Elliott,P
AU  - Douglass,M
AU  - Obermeyer,Z
AU  - Soljak,M
AU  - Majeed,A
AU  - Ezzati,M
DO  - 10.1016/S2468-2667(17)30032-4
EP  - 201
PY  - 2017///
SN  - 2468-2667
SP  - 191
TI  - Acute myocardial infarction hospital admissions and deaths in England: a national follow-back and follow-forward record-linkage study
T2  - Lancet Public Health
UR  - http://dx.doi.org/10.1016/S2468-2667(17)30032-4
UR  - http://hdl.handle.net/10044/1/54591
VL  - 2
ER  -

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