[The Myocardial Infarction Register of the District of Rostock]
Related Experiment Videos
Insights
Myocardial infarction incidence varied across Rostock districts, with higher rates and lethality in men and older individuals. Prehospital delays significantly impact survival, with patient and transport times being critical factors.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Myocardial infarction (MI) registers were analyzed in four districts of Rostock over one year.
- Incidence rates varied: Wismar (23.7), Bad Doberan (18.9), Rostock (13.7), and Stralsund (17.6).
- The male-to-female ratio for MI was 2:1.
Purpose:
- To evaluate the incidence, lethality, and prehospital delay times associated with myocardial infarction in Rostock.
- To compare these findings with international data, specifically a WHO study.
Summary:
- MI incidence and lethality increased linearly with age.
- Total lethality within four weeks post-MI ranged from 43.6% to 57%.
- Over half to three-quarters of deaths occurred prehospital, with patient and transport delays being significant.
Impact:
- Physician delay times (15-30 minutes) were consistently the shortest.
- Physician and transport delays were among the top ten longest delays in a comparison of 23 towns.
- Findings highlight critical areas for improving prehospital care and reducing MI mortality.
Abstract:
In the country of Rostock the registers of myocardial infarction were evaluated in 4 districts after a period of one year. Here could be established that the incidence of infarctions in the various districts was 23.7 (Wismar), 18.9 (Bad Doberan), 13.7 (Rostock) and 17.6 (Stralsund). The sex ratio to the disadvantage of men is corresponding at 2 : 1. The incidence of infarctions and the lethality linearly increase with growing age. 4 weeks after the manifestation of the infarction the total lethality varies between 43.6 and 57% in the various districts. More than half to 3/4 of all cases of death are in the prehospital phase. As decisive periods of delay up to the admission to hospital the delay by patients and the delay by transport could be established. With 15 minutes to 30 minute the delay by physician is in every case the shortest period of delay. In comparison to an international WHO-study the periods of delay by physician and transport are in the first ten places among 23 towns.