Publish in this journal
Journal Information
Vol. 72. Issue 6.
Pages 466-472 (June 2019)
Share
Share
Download PDF
More article options
ePub
Visits
14
Vol. 72. Issue 6.
Pages 466-472 (June 2019)
Original article
DOI: 10.1016/j.rec.2018.06.023
Hospital Mortality in 415 798 AMI Patients: 4 Years Earlier in the Canary Islands Than in the Rest of Spain
Mortalidad hospitalaria de 415.798 pacientes con IAM: 4 años antes en Canarias que en el conjunto de España
Visits
14
Carmen Mate Redondoa, María Cristo Rodríguez-Pérezb, Santiago Domínguez Coellob, Arturo J. Pedrero Garcíaa, Itahisa Marcelino Rodríguezb, Francisco J. Cuevas Fernándezb, Delia Almeida Gonzálezb, Buenaventura Brito Díazb, Marcos Rodríguez Estebanc, Antonio Cabrera de Leónb,d,
Corresponding author
acableon@gmail.com

Corresponding author: Unidad de Investigación, Hospital de La Candelaria, Ctra. de El Rosario 145, 38010 Santa Cruz de Tenerife, Spain.
a Servicio de Medicina Preventiva, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
b Unidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
c Servicio de Cardiología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
d Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
Related content
Rev Esp Cardiol. 2019;72:516-710.1016/j.rec.2018.08.025
Marta María Martín Cabeza, Pablo Jorge Pérez, Martín Jesús García González
Rev Esp Cardiol. 2019;72:443-410.1016/j.rec.2018.11.019
Alberto Cordero, Vicente Bertomeu Martínez
This item has received
14
Visits
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (4)
Table 1. Average Age of Men and Women Hospitalized for Myocardial Infarction by Year and Autonomous Community, as Well as in Spain as a Whole, and In-hospital Deaths Between 2007 and 2014
Table 2. Proportion of Women and Prevalence of Risk Factors in Patients Hospitalized for Myocardial Infarction by Autonomous Community
Table 3. Factors Associated With Age at Myocardial Infarction and Risk of Death in Patients Admitted for Myocardial Infarction
Table 4. Standardized Mortality Rates of Patients Aged 45 to 84 Years With and Without T2DM Admitted for Myocardial Infarction. Estimated Risk of Death in Each Autonomous Community vs Spain. Population Attributable Fraction for Infarction Death Attributable to T2DM and Risk of Death in 2014 vs 2017
Show moreShow less
Abstract
Introduction and objectives

The Canary Islands has the highest mortality from diabetes in Spain. The aim of this study was to determine possible differences in mortality due to acute myocardial infarction (AMI) during hospital admission between this autonomous community and the rest of Spain, as well as the factors associated with this mortality and the population fraction attributable to diabetes.

Methods

Cross-sectional study of hospital admissions for AMI in Spain from 2007 to 2014, registered in the Minimum Basic Data Set.

Results

A total of 415 798 AMI were identified. Canary Island patients (16 317) were younger than those living in the rest of Spain (63.93 ± 13.56 vs 68.25 ± 13.94; P < .001) and death occurred 4 years earlier in the archipelago (74.03 ± 11.85 vs 78.38 ± 11.10; P < .001). This autonomous community had the highest prevalence of smoking (44% in men and 23% in women); throughout Spain, AMI occurred 13 years earlier in smokers than in nonsmokers. Patients in the Canary Islands had the highest mortality rates whether they had diabetes (8.7%) or not (7.6%), and they also showed the highest fraction of AMI mortality attributable to diabetes (9.4; 95%CI, 4.8-13.6). After adjustment for type of AMI, diabetes, dyslipidemia, hypertension, smoking, cocaine use, renal failure, sex and age, the Canary Islands showed the highest risk of mortality vs the rest of Spain (OR = 1.25; 95%CI, 1.17-1.33; P < .001) and it was one of the autonomous communities showing no significant improvement in the risk of mortality due to AMI during the study period.

Conclusions

Mortality due to AMI during hospital admission is higher in the Canary Islands than in the rest of Spain.

Keywords:
Acute myocardial infarction
Mortality
Cardiovascular risk factors
Spain
Canary Islands
Abbreviations:
AMI
CVRFs
STEMI
Resumen
Introducción y objetivos

Canarias tiene la mortalidad por diabetes más elevada de España. El objetivo es averiguar si existen diferencias con las restantes comunidades autónomas en la mortalidad hospitalaria por infarto agudo de miocardio (IAM), en los factores asociados con esta mortalidad y la fracción poblacional atribuible a la diabetes.

Métodos

Estudio descriptivo de los ingresos hospitalarios por IAM en España desde 2007 hasta 2014, registrados en el Conjunto Mínimo Básico de Datos.

Resultados

Se identificaron 415.798 IAM. Los pacientes canarios (16.317) eran más jóvenes que los del resto de España (63,93 ± 13,56 frente a 68,25 ± 13,94 años; p < 0,001); también el fallecimiento ocurrió 4 años antes en el archipiélago (a los 74,03 ± 11,85 frente a los 78,38 ± 11,10 años; p < 0,001). En esta comunidad alcanzó su prevalencia máxima el tabaquismo (el 44% de los varones y el 23% de las mujeres), que se asoció con un adelanto de 13 años en la edad al IAM. Las islas Canarias tuvieron la mayor mortalidad de pacientes tanto con diabetes (8,7%) como sin ella (7,6%), y también la mayor fracción poblacional de muerte por IAM atribuible a la diabetes (9,4; IC95%, 4,8-13,6). Tras ajustar por tipo de IAM, diabetes, dislipemia, hipertensión, tabaquismo, consumo de cocaína, insuficiencia renal, sexo y edad, Canarias presentó el mayor riesgo de mortalidad respecto a España (OR = 1,25; IC95%, 1,17-1,33; p < 0,001). Fue, además, una de las comunidades autónomas que no mejoró significativamente su riesgo de mortalidad por IAM durante el periodo estudiado.

Conclusiones

Canarias presenta una situación muy desfavorable respecto al resto de España en la mortalidad hospitalaria por IAM.

Palabras clave:
Infarto agudo de miocardio
Mortalidad
Factores de riesgo cardiovascular
España
Canarias

Article

These are the options to access the full texts of the publication Revista Española de Cardiología (English Edition)
Member
Members of SEC
Use the Society's website login and password here
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Cardiología (English Edition)

Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.