Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/136913
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Trends in myocardial infarction and coronary revascularisation procedures in Australia, 1993-2017 |
Author: | Lin, R.Z. Gallagher, C. Tu, S.J. Pitman, B.M. Nelson, A.J. Roberts-Thomson, R.L. Worthley, M.I. Lau, D.H. Sanders, P. Wong, C.X. |
Citation: | Heart, 2022; 109(4):283-288 |
Publisher: | BMJ |
Issue Date: | 2022 |
ISSN: | 1355-6037 1468-201X |
Statement of Responsibility: | Richard Z Lin, Celine Gallagher, Samuel J Tu, Bradley M Pitman, Adam J Nelson, Ross L Roberts-Thomson, Matthew I Worthley, Dennis H Lau, Prashanthan Sanders, Christopher X Wong |
Abstract: | Objective Prior data have shown rising acute myocardial infarction (MI) trends in Australia; whether these increases have continued in recent years is not known. This study thus sought to characterise contemporary nationwide trends in MI hospitalisations and coronary procedures in Australia and their associated economic burden. Methods The primary outcome measure was the incidence and time trends of total MI, ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) hospitalisations from 1993 to 2017. The incidence and time trends of coronary procedures were additionally collected, alongside MI hospitalisation costs. Results Adjusted for population changes, annual MI incidence increased from 216.2 cases per 100 000 to a peak of 270.4 in 2007 with subsequent decline to 218.7 in 2017. Similarly, NSTEMI incidence increased from 68.0 cases per 100 000 in 1993 to a peak of 192.6 in 2007 with subsequent decline to 162.6 in 2017. STEMI incidence decreased from 148.3 cases per 100 000 in 1993 to 56.2 in 2017. Across the study period, there were annual increases in MI hospitalisations of 0.7% and NSTEMI hospitalisations of 5.6%, and an annual decrease in STEMI hospitalisations of 4.8%. Angiography and percutaneous coronary intervention increased by 3.4% and 3.3% annually, respectively, while coronary artery bypass graft surgery declined by 2.2% annually. MI hospitalisation costs increased by 100% over the study period, despite a decreased average length of stay by 45%. Conclusions The rising incidence of MI hospitalisations appear to have stabilised in Australia. Despite this, associated healthcare expenditure remains significant, suggesting a need for continual implementation of public health policies and preventative strategies. |
Keywords: | Humans Myocardial Infarction Hospitalization Australia Percutaneous Coronary Intervention Non-ST Elevated Myocardial Infarction ST Elevation Myocardial Infarction |
Description: | First published November 7, 2022. Online issue publication January 27, 2023 |
Rights: | © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. |
DOI: | 10.1136/heartjnl-2022-321393 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/N/A |
Published version: | http://dx.doi.org/10.1136/heartjnl-2022-321393 |
Appears in Collections: | Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.