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Open Access 01-12-2021 | Myocardial Infarction | Research

Spatial and temporal analysis of myocardial infarction incidence in Zanjan province, Iran

Authors: Mohsen Soleimani, Nasser Bagheri

Published in: BMC Public Health | Issue 1/2021

Abstract

Background

Myocardial Infarction (MI) is a major important public health concern and has huge burden on health system across the world. This study aimed to explore the spatial and temporal analysis of the incidence of MI to identify potential clusters of the incidence of MI patterns across rural areas in Zanjan province, Iran.

Materials & methods

This was a retrospective and geospatial analysis study of the incidence of MI data from nine hospitals during 2014–2018. Three different spatial analysis methods (Spatial autocorrelation, hot spot analysis and cluster and outlier analysis) were used to identify potential clusters and high-risk areas of the incidence of MI at the study area.

Results

Three thousand eight hundred twenty patients were registered at Zanjan hospitals due to MI during 2014–2018. The overall age-adjusted incidence rate of MI was 343 cases per 100,000 person which was raised from 88 cases in 2014 to 114 cases in 2018 per 100,000 person-year (a 30% increase, P < 0.001). Golabar region had the highest age-adjusted incidence rate of MI (515 cases per 100,000 person). Five hot spots and one high-high cluster were detected using spatial analysis methods.

Conclusion

This study showed that there is a great deal of spatial variations in the pattern of the incidence of MI in Zanjan province. The high incidence rate of MI in the study area compared to the national average, is a warning to local health authorities to determine the possible causes of disease incidence and potential drivers of high-risk areas. The spatial cluster analysis provides new evidence for policy-makers to design tailored interventions to reduce the incidence of MI and allocate health resource to unmet need areas.

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Title: Spatial and temporal analysis of myocardial infarction incidence in Zanjan province, Iran
Authors: Mohsen Soleimani
Nasser Bagheri
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Myocardial Infarction
Published in: BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-021-11695-8

At a glance: The STEP trials

Springer Medicine

Spatial and temporal analysis of myocardial infarction incidence in Zanjan province, Iran

Abstract

Background

Materials & methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials & methods

Results

Conclusion

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