Joinpoint analysis of all-populations trends on AMI attack and mortality rates and 28-day case-fatality in 1985–2010
| Period | APC (95% CI) | Period | APC (95% CI) | Period | APC (95% CI) | |
|---|---|---|---|---|---|---|
| (A) Men | ||||||
| 35–64 years | ||||||
| Mortality rate | 1985–1995 | −3.4 (−5.4 to −1.4) | 1995–2010 | −6.8 (−8.4 to −5.1) | ||
| Total case-fatality | 1985–1995 | 0.6 (−0.2 to 1.5) | 1995–1998 | −7.6 (−19.0 to 5.5) | 1998–2010 | −2.1 (−3.2 to −1.0) |
| Prehospital case-fatality | 1985–1995 | 2.2 (0.9 to 3.5) | 1995–1998 | −9.6 (−26.3 to 10.8) | 1998–2010 | −1.6 (−3.3 to 0.2) |
| 65–74 years | ||||||
| Attack rate | 1985–1991 | −7.8 (−13.0 to −2.2) | 1991–1994 | 6.2 (−18.3 to 38.0) | 1994–2010 | −5.8 (−6.6 to −5.0) |
| Mortality rate | 1985–1996 | −4.0 (−6.3 to −1.6) | 1996–2010 | −7.7 (−9.0 to −6.3) | ||
| 35–74 years | ||||||
| Attack rate | 1985–2005 | −3.6 (−4.1 to −3.1) | 2005–2010 | −7.0 (−11.6 to −2.3) | ||
| Mortality rate | 1985–1995 | −3.5 (−5.6 to −1.3) | 1995–2010 | −7.1 (−8.3 to −6.0) | ||
| Total case-fatality | 1985–1995 | −0.2 (−0.8 to 0.4) | 1995–1998 | −5.6 (−11.0 to 0.1) | 1998–2010 | −2.1 (−2.5 to −1.6) |
| Prehospital case-fatality | 1985–1995 | 0.5 (−0.8 to 1.7) | 1995–2010 | −2.4 (−3.0 to −1.8) | ||
| (B) Women | ||||||
| 35–64 years | ||||||
| Attack rate | 1985–1995 | −0.4 (−1.8 to 1.1) | 1995–1998 | −12.4 (−29.1 to 8.2) | 1998–2010 | −1.9 (−3.5 to −0.3) |
| Mortality rate | 1985–1996 | −1.6 (−3.8 to 0.5) | 1996–1999 | −17.3 (−43.8 to 21.7) | 1999–2010 | −3.7 (−7.1 to −0.2) |
| Total case-fatality | 1985–1995 | −1.1 (−2.5 to 0.4) | 1995–2010 | −3.5 (−4.6 to −2.4) | ||
| Prehospital case-fatality | 1985–1996 | −0.1 (−2.1 to 2.1) | 1996–2010 | −3.6 (−5.6 to −1.7) | ||
| 65–74 years | ||||||
| Attack rate | 1985–1996 | −1.8 (−4.0 to 0.4) | 1996–2010 | −7.0 (−8.2 to −5.7) | ||
| Mortality rate | 1985–1996 | −2.3 (−4.3 to −0.3) | 1996–2004 | −11.8 (−14.4 to −9.1) | 2004–2010 | −3.5 (−9.2 to 2.5) |
| Total case-fatality | 1985–1999 | −1.4 (−2.1 to −0.8) | 1999–2005 | −6.6 (−9.1 to −4.1) | 2005–2010 | 4.7 (0.7 to 8.8) |
| Prehospital case-fatality | 1985–2000 | −1.3 (−2.7 to 0.1) | 2000–2006 | −5.6 (−11.9 to 1.3) | 2006–2010 | 10.2 (−1.1 to 22.9) |
| Inhospital case-fatality | 1985–1999 | −1.9 (−3.4 to −0.3) | 1999–2004 | −9.0 (−17.2 to 0.1) | 2004–2010 | 0.7 (−6.6 to 8.7) |
| 35–74 years | ||||||
| Attack rate | 1985–1996 | −1.2 (−2.8 to 0.4) | 1996–1999 | −10.6 (−26.4 to 8.6) | 1999–2010 | −4.2 (−5.8 to −2.6) |
| Mortality rate | 1985–1996 | −2.5 (−4.3 to −0.7) | 1996–2004 | −10.7 (−13.4 to −7.9) | 2004–2010 | −3.3 (−9.0 to 2.7) |
| Total case-fatality | 1985–1996 | −1.0 (−2.0 to 0.0) | 1996–2006 | −4.6 (−5.8 to −3.3) | 2006–2010 | 4.4 (−1.7 to 10.9) |
| Prehospital case-fatality | 1985–1996 | −0.2 (−1.9 to 1.5) | 1996–2006 | −4.2 (−6.3 to −2.2) | 2006–2010 | 6.4 (−3.5 to 17.3) |
| Inhospital case-fatality | 1985–2001 | −2.4 (−3.3 to −1.5) | 2001–2004 | −12.6 (−31.3 to 11.2) | 2004–2010 | 1.3 (−4.3 to 7.3) |
Significance of APCs tested by joinpoint regression. Bold entries correspond to 95% CI excluding 0.
AMI, acute myocardial infarction; APC, annual percentage change.
Only trends showing at least one joinpoint are presented. Otherwise, the corresponding trends are shown in table 1.