How many people have had a myocardial infarction? Prevalence estimated using historical hospital data
2007

Estimating Myocardial Infarction Prevalence in Ontario

Sample size: 346915 publication 10 minutes Evidence: high

Author Information

Author(s): Manuel Douglas G, Lim Jenny JY, Tanuseputro Peter, Stukel Therésè A

Primary Institution: Institute for Clinical Evaluative Sciences

Hypothesis

Can historical hospital data be used to estimate the prevalence of myocardial infarction in Ontario?

Conclusion

Using historical hospital data, we can reliably estimate the prevalence of myocardial infarction in Ontario.

Supporting Evidence

  • The estimated prevalence of myocardial infarction was 2.03%.
  • The study created a registry of 346,915 individuals with a history of myocardial infarction.
  • There was poor agreement between self-reported heart attacks and hospital admissions.

Takeaway

This study shows that we can figure out how many people had a heart attack by looking at hospital records from many years.

Methodology

The study used hospital admission data from 1988 to 2004 and various statistical models to estimate prevalence.

Potential Biases

Self-reported data may underestimate the prevalence of myocardial infarction.

Limitations

The study may not capture all individuals who had a myocardial infarction, especially those who were not hospitalized.

Participant Demographics

The study included Ontario residents aged 20 and older, with a mean age of 67.4 for men and 74.0 for women.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI 2.01 to 2.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-7-174

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