Bas Rhin Ischaemic Heart Disease Register (Certified Register 2013-2016) FRESH-PEF216-en Marie MOITRY Bas Rhin Ischaemic Heart Disease Register (Certified Register 2013-2016) FRESH-PEF216-en 216 FRESH-PEF216 Marie MOITRY Michel VELTEN UNIVERSITE DE STRASBOURG Epidemiology France Portal (PEF) INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM) SANTE PUBLIQUE FRANCE null mortality and fatality Ischaemic heart disease. Population registry. Epidemiological indicators: morbidity Cardiology and vascular medicine Diseases of the circulatory system The permanent monitoring of the Bas-Rhin population aged 35 to 74 and systematic, continuous recording of cases of myocardial infarction and coronary deaths allow for the continuous estimation - as well as development - of a certain number of epidemiological indicators concerning coronary disease: incidence rates, annual occurrence rates (incident and recurring events), death rates by myocardial infarction; coronary and presumed coronary death rates; fatality rate at 28 days - hospital and general coronary. These indicators can be supplied by gender, age and year. Although changes in trend are observed over time, it is possible to estimate the proportion attributable to the reduction in incidence of coronary events and the proportion attributable to the reduction in fatality. Joint analyses are performed on a regular basis with the other two French registries on ischaemic heart diseases, which use the same methodology. The register is a reference tool for validating epidemiological indicators for coronary disease, constructed from other data sources (estimation validation of indicators from the PMSI hospital database for myocardial infarction, validation of indicators for coronary mortality and sudden death from the CépiDc's national death statistics). Parallel to recording coronary disease, surveys on representative samples of the general population are carried out at regular intervals with a view to studying the level of cardiovascular risk factors and how they evolve. Development of descriptive studies completing the basic recording: since 2006, recording of all acute heart failure (myocardial infarction, acute coronary syndromes, unstable angina); periodic recording of out- and inpatient treatment for episodes of acute heart failure, etc. Thanks to the ischaemic heart disease register, several analytical epidemiology studies have been developed (ECTIM case-control and PRIME cohort). Use of data from the register to evaluate the merits of an approach measuring - on an ecological basis - the influence of lifestyle and socioeconomic status on the link between atmospheric pollution and myocardial infarction in the Urban Community of Strasbourg (CUS). null France Grand Est Individuals Patients population Male Female Other Adult (25 to 44 years) Middle Aged (45 to 64 years) Aged (65 to 79 years) Monitoring of population living in the Bas-Rhin aged 35 to 74 inclusive. Recording of the following pathologies: 1) Myocardial infarction: events reported by clinicians as a myocardial infarction (or equivalent term). 2) Death: - certain coronary deaths (myocardial infarction or other coronary clinical history) or probable coronary (subjects died without apparent cause, but with a history of coronary disease) - sudden deaths occurring in less than 24 hours without other evident cause of death and without a history of coronary disease - deaths with insufficient data (the cause of death could not be established) Since 2006, in the same age range, additional recording of events reported by the clinician: acute coronary syndrome, unstable angina, clinical complications with aggravation of coronary disease. Clinical data Socio-demographic data Demographic variables: places of birth and residence: coding of municipalities (INSEE code) Clinical variables: clinician diagnoses coded according to the ICD 9 classification Health event/morbidity Health event/mortality Other Administrative database (employees pupils students etc.) Medical-administrative database (patients health insurance/mutual insurance) Disease and death registry >= 20000 individuals Recording (audio, video, electrophysiological, imaging) Observational Study Observational Study Morbidity registry 1997-2008: 13 620 Unknown Restricted access Access on specific project only