Annette Kjær Ersbøll1, Thora Majlund Kjærulff2, Kristine Bihrmann2, Jasper Schipperijn3, Gunnar Gislason4, Mogens Lytken Larsen5. 1. University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark . Electronic address: ake@niph.dk. 2. University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark. 3. University of Southern Denmark, Department of Sport Science and Clinical Biomechanics, Campusvej 55, DK-5230, Odense, Denmark. 4. University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark ; Department of Cardiology, Copenhagen University Hospital Gentofte, Kildegaardsvej 28 DK-2900 Hellerup, Denmark; The Danish Heart Foundation, Hauser Plads 10, DK-1127 Copenhagen, Demark. 5. Danish Centre of Inequality in Health, Department of Cardiology, Aalborg University Hospital, Hobrovej 18-22, DK-9100 Aalborg, Denmark.
Abstract
BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI. METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association. RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated. CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.
BACKGROUND: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI. METHODS: Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association. RESULTS: A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated. CONCLUSIONS: A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.