TY - JOUR
T1 - TRENDS IN SURVIVAL AFTER MYOCARDIAL INFARCTION IN NEW ZEALAND, 1974-81
AU - Stewart, Alistair W.
AU - Fraser, Gary E.
AU - Beaglehole, Robert
AU - Norman Sharpe, D.
N1 - Funding Information:
This research was supported by the National Heart Foundation of New
Funding Information:
Zealand and the Medical Research Council of New Zealand. A. W. S. is funded by the Medical Research Council of New Zealand. We thank the nurse-interviewers and clerical staff, and the many other colleagues and patients who made this study possible, and Kay Perry who helped with the manuscript. Correspondence should be addressed to R. B., Department of Community Health and General Practice, University of Auckland Medical School, Private Bag, Auckland, New Zealand.
PY - 1984/8/25
Y1 - 1984/8/25
N2 - Coronary heart disease mortality in New Zealand has declined by 20% in the 13 years since 1968. One possible explanation for this decline is lower case-fatality rates resulting from improvements in the management of myocardial infarction. This paper tests this hypothesis by examining trends in 1-year survival following a definite myocardial infarction for the population aged 35-69 in Auckland. The data were obtained from two methodologically identical population-based registers of myocardial infarction compiled in 1974 and 1981 in Auckland. In both periods the 1-year crude case-fatality rate was 30% and the pattern of survival over 1 year was similar. These data suggest that factors other than the improved care of myocardial infarction patients are responsible for the decline in coronary heart disease mortality rates in New Zealand.
AB - Coronary heart disease mortality in New Zealand has declined by 20% in the 13 years since 1968. One possible explanation for this decline is lower case-fatality rates resulting from improvements in the management of myocardial infarction. This paper tests this hypothesis by examining trends in 1-year survival following a definite myocardial infarction for the population aged 35-69 in Auckland. The data were obtained from two methodologically identical population-based registers of myocardial infarction compiled in 1974 and 1981 in Auckland. In both periods the 1-year crude case-fatality rate was 30% and the pattern of survival over 1 year was similar. These data suggest that factors other than the improved care of myocardial infarction patients are responsible for the decline in coronary heart disease mortality rates in New Zealand.
UR - http://www.scopus.com/inward/record.url?scp=0021164355&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0021164355&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(84)92917-9
DO - 10.1016/S0140-6736(84)92917-9
M3 - Short survey
C2 - 6147511
SN - 0140-6736
VL - 324
SP - 444
EP - 446
JO - The Lancet
JF - The Lancet
IS - 8400
ER -