Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal

Detalhes bibliográficos
Autor(a) principal: Abreu, Daisy
Data de Publicação: 2020
Outros Autores: Sousa, Paulo, Matias Dias, Carlos, Pinto, Fausto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/7676
Resumo: Article in English, Portuguese
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spelling Impact of public health initiatives on acute coronary syndrome fatality rates in PortugalImpacto das medidas de saúde pública na mortalidade intra-hospitalar por síndrome coronária aguda em PortugalPublic HealthCardiovascular HealthAcute Coronary SyndromeCase-fatality RateEstados de Saúde e de DoençaDoença CardiovascularLetalidadePublic HealthSaúde PúblicaSíndrome Coronária AgudaArticle in English, PortugueseIntroduction and objective: Every year cardiovascular disease (CVD) causes 3.9 million deaths in Europe. Portugal has implemented a set of public health policies to tackle CVD mortality: a smoking ban in 2008, a salt reduction regulation in 2010 and the coronary fast-track system (FTS) for acute coronary syndrome (ACS) in 2007. Our goal in this study was to analyze the impact of these three public health policies in reducing case-fatality rates from ACS between 2000 and 2016. Methods: The impact of these policies on monthly ACS case-fatalities was assessed by creating individual models for each of the initiatives and implementing multiple linear regression analysis, using standard methods for interrupted time series. We also implemented segmented regression analysis to test which year showed a significant difference in the case-fatality slopes. Results: Separate modeling showed that the smoking ban (beta=-0.861, p=0.050) and the FTS (beta=-1.27, p=0.003) had an immediate impact after implementation, but did not have a significant impact on ACS trends. The salt reduction regulation did not have a significant impact. For the segmented model, we found significant differences between case-fatality trends before and after 2009, with rates before 2009 showing a steeper decrease. Conclusions: The smoking ban and the FTS led to an immediate decrease in case-fatality rates; however, after 2009 no major decrease in case-fatality trends was found. Coronary heart disease constitutes an immense public health problem and it remains essential for decision-makers, public health authorities and the cardiology community to keep working to reduce ACS mortality rates.Elsevier/ Portuguese Society of CardiologyRepositório Científico do Instituto Nacional de SaúdeAbreu, DaisySousa, PauloMatias Dias, CarlosPinto, Fausto2021-04-09T14:55:24Z2020-03-032020-03-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/7676engRev Port Cardiol. 2020 Jan;39(1):27-34. doi: 10.1016/j.repc.2019.05.010. Epub 2020 Mar 3.10.1016/j.repc.2019.05.010info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:42:08Zoai:repositorio.insa.pt:10400.18/7676Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:42:19.218262Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
Impacto das medidas de saúde pública na mortalidade intra-hospitalar por síndrome coronária aguda em Portugal
title Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
spellingShingle Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
Abreu, Daisy
Public Health
Cardiovascular Health
Acute Coronary Syndrome
Case-fatality Rate
Estados de Saúde e de Doença
Doença Cardiovascular
Letalidade
Public Health
Saúde Pública
Síndrome Coronária Aguda
title_short Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
title_full Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
title_fullStr Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
title_full_unstemmed Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
title_sort Impact of public health initiatives on acute coronary syndrome fatality rates in Portugal
author Abreu, Daisy
author_facet Abreu, Daisy
Sousa, Paulo
Matias Dias, Carlos
Pinto, Fausto
author_role author
author2 Sousa, Paulo
Matias Dias, Carlos
Pinto, Fausto
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Abreu, Daisy
Sousa, Paulo
Matias Dias, Carlos
Pinto, Fausto
dc.subject.por.fl_str_mv Public Health
Cardiovascular Health
Acute Coronary Syndrome
Case-fatality Rate
Estados de Saúde e de Doença
Doença Cardiovascular
Letalidade
Public Health
Saúde Pública
Síndrome Coronária Aguda
topic Public Health
Cardiovascular Health
Acute Coronary Syndrome
Case-fatality Rate
Estados de Saúde e de Doença
Doença Cardiovascular
Letalidade
Public Health
Saúde Pública
Síndrome Coronária Aguda
description Article in English, Portuguese
publishDate 2020
dc.date.none.fl_str_mv 2020-03-03
2020-03-03T00:00:00Z
2021-04-09T14:55:24Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/7676
url http://hdl.handle.net/10400.18/7676
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol. 2020 Jan;39(1):27-34. doi: 10.1016/j.repc.2019.05.010. Epub 2020 Mar 3.
10.1016/j.repc.2019.05.010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier/ Portuguese Society of Cardiology
publisher.none.fl_str_mv Elsevier/ Portuguese Society of Cardiology
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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