Document Detail

Socio-occupational differences in acute myocardial infarction case-fatality and coronary care in a northern Italian population.
MedLine Citation:
PMID:  11759853     Owner:  NLM     Status:  MEDLINE    
AIMS: To appraise 28-day case-fatality of myocardial infarction (MI) among socio-occupational classes; to assess the consistency of the results for different degrees of MI severity; to explore if such differences are related to differences in management and treatment of the acute attack. METHODS: All coronary events (n = 1077), registered in 1993-1994 among the 35-64 year old male residents in MONICA Area Brianza were investigated and classified into diagnostic categories according to MONICA criteria. For all cases standardized information on acute coronary care and interventions before and during hospitalization was collected. Classification of social classes was derived from the Erikson-Goldthorpe-Portocarero social class scheme, based on information on occupational characteristics widely available in European countries. RESULTS: An increasing rate of case-fatality for decreasing levels of socio-occupational class was found. The social gradient resulted mainly from the higher incidence of out-of-hospital cardiac arrests. Treatment before and during the acute attack cannot explain the observed differences. CONCLUSION: Combining these results with those obtained in other MONICA centres, it appears that further decreases in coronary mortality might be achieved through specific programmes addressed in particular to the reduction of out-of-hospital case-fatality in lower social classes.
G Cesana; M Ferrario; S Gigante; R Sega; C Toso; F Achilli
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of epidemiology     Volume:  30 Suppl 1     ISSN:  0300-5771     ISO Abbreviation:  Int J Epidemiol     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-12-10     Completed Date:  2002-02-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802871     Medline TA:  Int J Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  S53-8     Citation Subset:  IM    
Research Center for Chronic Degenerative Diseases, University of Milano-Bicocca, Monza, Italy.
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MeSH Terms
Coronary Disease / mortality*,  therapy
Death, Sudden, Cardiac / epidemiology,  prevention & control
Italy / epidemiology
Middle Aged
Myocardial Infarction / mortality*,  therapy
Occupations / classification*,  statistics & numerical data
Social Class*

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