National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994

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National trends in rates of death and hospital
admissions related to acute myocardial
infarction, heart failure and stroke, 19942004
Jack V. Tu MD PhD, Lorelei Nardi MSc, Jiming Fang
PhD, Juan Liu MD, Laila Khalid MD, Helen Johansen
PhD, for the Canadian Cardiovascular Outcomes
Research Team
CIHR Team Grant in Cardiovascular Outcomes
Research
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CCORT

• CCORT is a group of over 30 outcomes researchers
  from 5 provinces (NS, QC, ON, AB, BC) who are
  working together on projects to measure and
  improve the quality of cardiac care in Canada
• Funded by a CIHR Team Grant in Cardiovascular
  Outcomes Research
• Institute for Clinical Evaluative Sciences (ICES)
  in Toronto is the national coordinating centre
  for CCORT
• www.ccort.ca

CIHR Team Grant in Cardiovascular Outcomes
Research
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Purpose of Study

• To examine national trends between 1994 and 2004,
  in hospitalizations and death rates for acute
  myocardial infarction, heart failure and stroke
• To see whether the rate of change for these three
  conditions has been similar or different

CIHR Team Grant in Cardiovascular Outcomes
Research
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Methods

• We analyzed mortality data from Statistic
  Canadas Canadian Mortality Database and data on
  hospital admissions from the Canadian Institute
  for Health Informations Hospital Morbidity
  Database for the period 1994-2004
• We determined age- and sex-standardized rates of
  death and hospital admissions per 100,000
  population aged 20 years and over as well as
  in-hospital case-fatality rates

CIHR Team Grant in Cardiovascular Outcomes
Research
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Overview

• The following is a set of slides that highlight
  key findings from the original manuscript
  including the following
• Decrease in mortality rates
• Decrease in hospital admission rates
• Decrease in in-hospital case-fatality rates
• Differences between men and women in relation to
  mortality and hospitalization rates
• Please feel free to use these slides to
  disseminate this information

CIHR Team Grant in Cardiovascular Outcomes
Research
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Trends in the rates of death, hospital admissions
and in-hospital case fatality associated with
acute myocardial infarction, heart failure and
stroke in Canada, 1994-2004
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Age- and sex-specific rates of death by
cardiovascular disease per 100,000 population
aged 20 and over in Canada, 1994-2004
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Age- and sex-standardized rates of death from
acute myocardial infarction, heart failure and
stroke per 100,000 population aged 20 and over in
Canada, 1994-2004. Rates are standardized to the
Canadian 1991 census population
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38.1
28.2
23.5
10
(No Transcript)
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32.3
27.5
32.3
27.5
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(No Transcript)
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Age- and sex-standardized rates of hospital
admissions because of acute myocardial
infarction, heart failure and stroke per 100,000
population aged 20 and over in Canada, 1994-2004.
Rates are standardized to the Canadian 1991
census population.
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9.2
27.2
27.6
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(No Transcript)
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Age- and sex-adjusted in-hospital case-fatality
rates among patients with acute myocardial
infarction, heart failure and stroke in Canada,
1994-2004. Rates are standardized to the
Canadian 1991 census population.
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8.9
8.1
33.1
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Age- and sex-specific rates of hospital
admissions by cardiovascular disease per 100,000
population aged 20 and over in Canada, 1994-2004
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(No Transcript)
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Conclusions

• Mortality, hospitalization and in-hospital
  case-fatality rates for heart disease decreased
  significantly between 1994-2004
• For the first time in Canada, more women than men
  died from cardiovascular disease in 2000
• Efforts to prevent cardiovascular disease have
  been successful but may have delayed the onset of
  disease until people are older
• Further prevention, treatment and national
  surveillance of cardiovascular disease is
  continuously required as it is still the leading
  cause of death in Canada

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Reasons for mortality decline

• Better heart disease prevention
• Decreasing smoking rates
• Greater awareness and control of hypertension
• Decreasing cholesterol levels (i.e. statins)
• Better heart disease treatment
• Aspirin, beta-blockers, ACE inhibitors,
  statins, etc.
• Fibrinolytics (clot-busting drugs),
• Primary angioplasty, CABG surgery

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Funding

• This study was supported by a Team Grant in
  Cardiovascular Outcomes Research to the Canadian
  Cardiovascular Outcomes Research Team from the
  Canadian Institutes of Health Research

CIHR Team Grant in Cardiovascular Outcomes
Research
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Thank You
For more information please visit www.ccort.ca
CIHR Team Grant in Cardiovascular Outcomes
Research